Jessica Theresa Moore-Tyson, LPC
NPI #1003254293 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1003254293
- Entity Type
- Individual
- Name
- Jessica Theresa Moore-Tyson, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jun 10, 2013
- Last Updated
- Jun 10, 2013
Practice Location
- Address
- 105 SIERRA PL
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-7364
- Phone
- (910) 554-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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