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Kimberly Nicole Moore
Counselor in Natchez, Mississippi
NPI 1891578944

Kimberly Nicole Moore is a Counselor based in Vicksburg, MS. Kimberly Nicole Moore practices in Natchez, MS. The NPI Number for Kimberly Nicole Moore is 1891578944 and holds a License No. 101YM0800X (Mississippi).

The current practice location address for Kimberly Nicole Moore is 150 Jeff Davis Blvd, Natchez, MS and can be reached out via phone at 601-446-6634. You can also correspond with Kimberly Nicole Moore through the mailing address at 3444 WISCONSIN AVE, VICKSBURG, MS - 39180-5331 (mailing address contact number: 601-638-0031).

Location: 150 Jeff Davis Blvd, Natchez, MS, 39180-5331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891578944
Provider Name
Kimberly Nicole Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Jeff Davis Blvd, Natchez, MS, 39180-5331
Phone Number
601-446-6634
Fax Number
Provider Enumeration Date
08/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Jeff Davis Blvd
City
Natchez
State
Mississippi
Zip
39120-5107
Phone Number
601-446-6634
Fax Number
person
Provider Business Mailing Address Details
Address
150 Jeff Davis Blvd
City
Natchez
State
Mississippi
Zip
39120-5107
Phone Number
601-446-6634
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
101YM0800X (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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