Candice Moore, OTR L

NPI 1174699011 · on the registry since 2006 · sole proprietor

Practice

Address: 4500 Interstate 55 North
Suite 291, Highland Village
Jackson, MS 39211
Phone: (601) 362-0859
Fax: (601) 362-0870
Organisation at this address: Embracing Hope Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi