Provider Demographics
NPI:1831076132
Name:MOORE, JENNIFER ERICA (LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ERICA
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 RUBEN TORRES SR BLVD STE 203E
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2908
Mailing Address - Country:US
Mailing Address - Phone:956-579-2346
Mailing Address - Fax:
Practice Address - Street 1:3380 RUBEN TORRES SR BLVD STE 203E
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-2908
Practice Address - Country:US
Practice Address - Phone:956-579-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205092106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist