Individual provider · Type 1 NPI

Martin Moore Jr.

Mental Health Counselor · Hattiesburg, MS

NPI number 1720745813 Active

Practice location

103 S 19th Ave
Hattiesburg, MS 39401-6171

Call (601) 544-4641 Map

Fax (604) 582-1607

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XM9920 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1720745813

Martin Moore Jr.'s National Provider Identifier is 1720745813, issued on Nov 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 23, 2021.