Olga V Moffett, CIDDT Valid NPI
Individual provider · Counselor · Hattiesburg, MS
- NPI
- 1629200340
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 94443 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-08-13
- Last updated
- 2009-08-13
Practice location
14 Plantation Dr
Hattiesburg, MS 39402-6116
(601) 705-1901