Individual
CAMILA A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
122 DESOTO AVE STE 109, CLARKSDALE, MS 38614-4440
(662) 592-5397
(662) 627-2442
Mailing address
122 DESOTO AVE STE 109, CLARKSDALE, MS 38614-4440
(662) 592-5397
(662) 627-2442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
06/15/2023
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