Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martin Moore Jr.

Individual provider Mental Health Counselor · NPI 1720745813

Martin Moore Jr. is a Mental Health Counselor in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

103 S 19th Ave
Hattiesburg, MS 39401-6171
Phone: (601) 544-4641
Fax: (604) 582-1607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence M9920 (MS)

Record details

NPI number1720745813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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