Individual provider · Type 1 NPI

Jeremey Moss

Mental Health Counselor · Centralia, IL

NPI number 1699409078 Active

Practice location

904 M L King Dr
Centralia, IL 62801-3058

Call (618) 533-1391 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699409078

Jeremey Moss's National Provider Identifier is 1699409078, issued on Jul 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Jul 12, 2022.