Individual
MRS. CAMILLA JOY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Contact information
Practice address
4262 POPPS FERRY RD, DIBERVILLE, MS 39540-2391
(601) 384-7551
(601) 384-7551
Mailing address
989 GREYSTONE DR, BILOXI, MS 39532-2251
(228) 438-0377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2191
MS
Other
Enumeration date
01/23/2019
Last updated
03/09/2021
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