Individual provider · Type 1 NPI

Jennifer Moak

Counselor · Columbia, MS

NPI number 1699495176 Active

Practice location

217 Dewey St
Columbia, MS 39429-2751

Fax (601) 736-4809

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3391 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699495176

Jennifer Moak's National Provider Identifier is 1699495176, issued on Sep 2, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Columbia, MS. The record was last updated on Sep 2, 2022.