Individual
JAMEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 868-7297
Mailing address
33 CALLOWAY CV, MEDINA, TN 38355-8928
(731) 616-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6616
TN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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