person
Jeremy Moore, CMHT
Mental Health Counselor in Hattiesburg, Mississippi
NPI 1588249502

Jeremy Moore is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Jeremy Moore practices in Hattiesburg, MS and has the professional credentials of CMHT. The NPI Number for Jeremy Moore is 1588249502 and holds a License No. 4644 (Mississippi).

The current practice location address for Jeremy Moore is 110 Patton Ave, Hattiesburg, MS and can be reached out via phone at 601-582-1111. You can also correspond with Jeremy Moore through the mailing address at PO BOX 18679, HATTIESBURG, MS - 39404-8679 (mailing address contact number: 601-705-1901).

Location: 110 Patton Ave, Hattiesburg, MS, 39404-8679
person
Provider Profile Details
NPI Number
1588249502
Provider Name
Jeremy Moore
Credential
CMHT
Provider Entity Type
Individual
Gender
Male
Address
110 Patton Ave, Hattiesburg, MS, 39404-8679
Phone Number
601-582-1111
Fax Number
Provider Enumeration Date
03/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Patton Ave
City
State
Zip
39401-6155
Phone Number
601-582-1111
Fax Number
person
Provider Business Mailing Address Details
Address
110 Patton Ave
City
State
Zip
39401-6155
Phone Number
601-582-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4644 (Mississippi)
Definition
Definition to come...
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