Individual provider · Type 1 NPI

Jessica Theresa Moore-Tyson, LPC

Professional Counselor · Jacksonville, NC

NPI number 1003254293 Active

Practice location

105 Sierra Pl
Jacksonville, NC 28546-7364

Call (910) 554-8387 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7967 (NC)

Professional Counselor: Definition to come...

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About NPI 1003254293

Jessica Theresa Moore-Tyson, LPC's National Provider Identifier is 1003254293, issued on Jun 10, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, NC. The record was last updated on Jun 10, 2013.