Female

Miss Jessica M. Moore MS, NCC, LMHC

Mental Health Counselor in Niceville, FL(View on Map)

Full Name

Miss Jessica Michelle Moore MS, NCC, LMHC

NPI Number

1417460916

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/07/2017

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Colorado
Florida
Georgia

License Number

LPC0015855
MH17958
0015551

Contact
Information

Purpose

Mailing
Location

Address

4409 SONOMA CIR
4409 SONOMA CIR

City

Niceville
Niceville

State

FL
FL

Postal Code

32578-4260
32578-4260

Country

US
US

Telephone Number

(850) 969-6604
(520) 366-4067

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2023

Provider Address

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