| Jason Edward Moore, | |
|
1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | |
| (530) 573-7970 | |
| Not Available |
| Full Name | Jason Edward Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043979479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Edward Moore, 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 Ph: (530) 573-7970 | Jason Edward Moore, 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 Ph: (530) 573-7970 |
Ms. Gail St.james, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 932 Candlewood Dr, South Lake Tahoe, CA 96150 Phone: 530-544-3588 | |
Kerstin Manderson Sidney, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 Fremont Ave, South Lake Tahoe, CA 96150 Phone: 530-541-2445 Fax: 530-541-0517 | |
Ashley Marie Mavon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-573-7927 | |
Mr. T.c. Nicholas B Garcia Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-541-5190 Fax: 530-542-3194 | |
Dr. Juanita Lerma Hernandez-morin, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-573-7993 | |
Miss Misty Dawn Dee, CSAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2494 Lake Tahoe Blvd Suite B-5, South Lake Tahoe, CA 96151 Phone: 530-541-4594 |