Individual
SANETRIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT, CCSS
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 985-5174
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 985-5174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
MS
Other
Enumeration date
05/16/2022
Last updated
04/20/2026
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