Individual provider · Type 1 NPI
Ebonye Dawn Debose-Moore, LPC
Professional Counselor · Ridgeland, MS
NPI number
1912725797
Active
Practice location
731 S Pear Orchard Rd Ste 51
Ridgeland, MS 39157-4841
Mailing address
802 Fairfax Cir
Jackson, MS 39211-4240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 2070 (MS) |
| Professional Counselor Primary | 101YP2500X | 2070 (MS) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1912725797
Ebonye Dawn Debose-Moore, LPC's National Provider Identifier is 1912725797, issued on Sep 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ridgeland, MS. The record was last updated on Oct 8, 2024.