Individual provider · Type 1 NPI
Cecily Renee Moore, LPC-MHSP
Professional Counselor · Jackson, TN
NPI number
1962800102
Active
Practice location
15 Bent Twig Dr
Jackson, TN 38305-6477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Developmental Therapist | 222Q00000X | None listed |
| Professional Counselor Primary | 101YP2500X | 4522 (TN) |
Professional Counselor: Definition to come...
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About NPI 1962800102
Cecily Renee Moore, LPC-MHSP's National Provider Identifier is 1962800102, issued on Dec 19, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, TN. The record was last updated on Oct 18, 2023.