Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
671 CHEEHAW AVE, WEST COLUMBIA, SC 29170-2276
(803) 477-6255
Mailing address
671 CHEEHAW AVE, WEST COLUMBIA, SC 29170-2276
(803) 477-6255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10429
SC
Other
Enumeration date
06/16/2022
Last updated
11/17/2024
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