person
Deidere Hollins, LPC-S
Professional Counselor in Jackson, Mississippi
NPI 1336521970

Deidere Hollins is a Professional Counselor based in Pearl, MS and is specialized in Professional. Deidere Hollins practices in Jackson, MS and has the professional credentials of LPC-S. The NPI Number for Deidere Hollins is 1336521970 and holds a License No. 1628 (Mississippi).

The current practice location address for Deidere Hollins is 3450 Highway 80 W, Jackson, MS and can be reached out via phone at 601-321-2400 and via fax at 601-985-5174.

Location: 3450 Highway 80 W, Jackson, MS, 39208-3366
person
Provider Profile Details
NPI Number
1336521970
Provider Name
Deidere Hollins
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
3450 Highway 80 W, Jackson, MS, 39208-3366
Phone Number
601-321-2400
Fax Number
601-985-5174
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018209 05 MS
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1628 (Mississippi)
Definition
Definition to come...
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