KENDRA TUCKER-MOORE
NPI 1609141738
Counselor - Mental Health in Jackson, MS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 22, 2012

3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2497(601) 321-2476 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kendra Tucker-moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA TUCKER-MOORE (NPI 1609141738) is an individual mental health provider in Jackson, Mississippi, licensed in Mississippi (1811) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1609141738

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKENDRA TUCKER-MOORE

Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201

Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2497 · Fax (601) 321-2476

Phone(601) 321-2497

Fax(601) 321-2476

Sole ProprietorNo

Enumeration DateMarch 22, 2012

✔ NPI 1609141738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MS · 1811

3450 HIGHWAY 80 W, Jackson, MS 39209

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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