Jennifer Moak

NPI #1699495176 in Columbia, Mississippi

Provider Information

NPI Number: 1699495176
Entity Type: Individual
Name: Jennifer Moak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 2, 2022
Last Updated: Sep 2, 2022

Practice Location

Address: 217 DEWEY ST
City: Columbia
State: Mississippi
ZIP Code: 39429-2751
Phone: (601) 736-6799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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