JEREMY MOORE

HATTIESBURG, MS
NPI1588249502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  4644)
Enumeration Date2021-03-11
Last Update Date2021-03-11
Business Address
JEREMY MOORE CMHT
110 PATTON AVE
HATTIESBURG, MS 39401-6155
Phone number: 601-582-1111
Mailing Address
JEREMY MOORE CMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901