Organization
MCWILLIE COUNSELING & DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELILAH J. MOORE LCPC (CLINICAL DIRECTOR)
(601) 982-8624
Entity
Organization
Contact information
Practice address
5202 KEELE ST STE 1, JACKSON, MS 39206-4355
(601) 982-8624
Mailing address
5202 KEELE STREET, SUITE 1, JACKSON, MS 39206
(601) 982-8624
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
00281
MS
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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