NPI 1003254293

Jessica Theresa Moore-Tyson, LPC

Practitioner Professional Counselor Jacksonville, NC

Practice location

Address: 105 Sierra Pl, Jacksonville, NC 28546-7364
Phone: (910) 554-8387

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 7967 (NC)

Other Counselor providers in North Carolina →

Registry record

NPI: 1003254293
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2013
Record last updated: 10 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.