Individual
DANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC BC-TMH
Contact information
Practice address
128 W FRANKLIN ST, CARTHAGE, MS 39051-3700
(601) 476-4700
Mailing address
128 W FRANKLIN ST, CARTHAGE, MS 39051-3700
(601) 476-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2149
MS
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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