person
Tanzania Mala Moore
Mental Health Counselor in Vicksburg, Mississippi
NPI 1447745567

Tanzania Mala Moore is a Mental Health Counselor based in Pearl, MS and is specialized in Mental Health. Tanzania Mala Moore practices in Vicksburg, MS. The NPI Number for Tanzania Mala Moore is 1447745567 and holds a License No. (Mississippi).

The current practice location address for Tanzania Mala Moore is 3530 Manor Dr Ste 5A, Vicksburg, MS and can be reached out via phone at 601-738-5260 and via fax at 601-738-5361.

Location: 3530 Manor Dr Ste 5A, Vicksburg, MS, 39208-4103
person
Provider Profile Details
NPI Number
1447745567
Provider Name
Tanzania Mala Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3530 Manor Dr Ste 5A, Vicksburg, MS, 39208-4103
Phone Number
601-738-5260
Fax Number
601-738-5361
Provider Enumeration Date
06/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3530 Manor Dr Ste 5A
City
State
Zip
39180-5625
Phone Number
601-738-5260
Fax Number
601-738-5361
person
Provider Business Mailing Address Details
Address
3530 Manor Dr Ste 5A
City
State
Zip
39180-5625
Phone Number
601-738-5260
Fax Number
601-738-5361
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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