Individual
JESSICA NOELL MOUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S NEW HOPE RD STE 102, GASTONIA, NC 28054-4825
(704) 208-1865
(704) 208-1865
Mailing address
609 S NEW HOPE RD STE 102, GASTONIA, NC 28054-4825
(704) 208-1865
(704) 208-1865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16006
NC
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/03/2012
Last updated
01/06/2022
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