| Jennifer Moak, | |
|
217 Dewey St, Columbia, MS 39429-2751 | |
| (601) 736-6799 | |
| (601) 736-4809 |
| Full Name | Jennifer Moak |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 217 Dewey St, Columbia, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699495176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3391 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Moak, Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Jennifer Moak, 217 Dewey St, Columbia, MS 39429-2751 Ph: (601) 736-6799 |
Connie Jones, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 Fax: 601-736-4809 | |
Heather A Gingell, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Bullock Ln, Columbia, MS 39429 Phone: 601-705-1901 | |
Samantha Buckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 Fax: 601-736-4809 | |
Amanda Holmes, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 | |
Valerie Aikens, P-LPC Counselor Medicare: Medicare Enrolled Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 | |
Kasee Avery, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 | |
Joanna Chandler, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Dewey St, Columbia, MS 39429 Phone: 601-736-6799 |