Lookup NPI Numbers from the NPI Registry
NPI Profile for CECILY R MOORE in JACKSON, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Developmental Therapist |
222Q00000X | |||
Mental Health |
101YM0800X |
| NPI # | 1962800102 |
|
| Status | Active | |
| Credentials | LPC-MHSP | |
| Entity | Individual | |
| Enumeration date | 12/19/2014 | |
| Last updated | 10/18/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CECILY R MOORE
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CECILY R MOORE, LPC-MHSP