Individual
DR. JANA L HOLMES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 RUBY LN, VICKSBURG, MS 39183-9227
(601) 529-6482
Mailing address
108 RUBY LN, VICKSBURG, MS 39183-9227
(601) 529-6482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2040
MS
Other
Enumeration date
07/31/2006
Last updated
04/29/2019
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