Individual
MISS ASHLEY NICOLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2258
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689006637
NPI
MS
Enumeration date
08/01/2013
Last updated
07/15/2019
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