Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jacquelyn J.l. Moore, MHC-LP

Individual provider Mental Health Counselor · NPI 1427923895

Miss. Jacquelyn J.l. Moore, MHC-LP is a Mental Health Counselor in Endicott, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

950 Boswell Hill Rd
Endicott, NY 13760
Phone: (607) 203-1593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18-P127095 (NY)

Record details

NPI number1427923895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025

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