MR. Jackie Moore, MA is an addiction (substance use disorder) counselor in Grosse Pointe, MI. MR. Jackie Moore, MA NPI is 1629355870. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
18530 MACK AVE STE 101
GROSSE POINTE, MI
ZIP 48236-254
Phone: (313) 673-9073
Fax: (313) 884-8442
The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/15/2011.