Individual provider · Type 1 NPI

Sanetria Moore, CMHT, CCSS

Mental Health Counselor · Jackson, MS

NPI number 1184361883 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2497 Map

Fax (601) 985-5174

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Management Agency 251B00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184361883

Sanetria Moore, CMHT, CCSS's National Provider Identifier is 1184361883, issued on May 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2026.