JEREMEY MOSS

CENTRALIA, IL
NPI1699409078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
JEREMEY MOSS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
Mailing Address
JEREMEY MOSS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391