Eric Shane Moor, MA, LPC, NCC Valid NPI

Individual provider · Counselor · Jackson, MI

NPI

1407299142

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

6401014352 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-04-11

Last updated

2026-01-14