Individual
JAMEKA RENEE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 PERRY WILEY WAY, CHESTERFIELD, SC 29709
(843) 623-2229
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
10/10/2012
Last updated
11/12/2020
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