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Jennifer Moak
Counselor in Columbia, Mississippi
NPI 1699495176

Jennifer Moak is a Counselor based in Hattiesburg, MS. Jennifer Moak practices in Columbia, MS. The NPI Number for Jennifer Moak is 1699495176 and holds a License No. 3391 (Mississippi).

The current practice location address for Jennifer Moak is 217 Dewey St, Columbia, MS and can be reached out via phone at 601-736-6799 and via fax at 601-736-4809.

Location: 217 Dewey St, Columbia, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699495176
Provider Name
Jennifer Moak
Credential
Provider Entity Type
Individual
Gender
Female
Address
217 Dewey St, Columbia, MS, 39404-8679
Phone Number
601-736-6799
Fax Number
601-736-4809
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
217 Dewey St
City
Columbia
State
Mississippi
Zip
39429-2751
Phone Number
601-736-6799
Fax Number
601-736-4809
person
Provider Business Mailing Address Details
Address
217 Dewey St
City
Columbia
State
Mississippi
Zip
39429-2751
Phone Number
601-736-6799
Fax Number
601-736-4809
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3391 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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