person
Audrey Jackson, PCNHT
Mental Health Counselor in Laurel, Mississippi
NPI 1366209264

Audrey Jackson is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Audrey Jackson practices in Laurel, MS and has the professional credentials of PCNHT. The NPI Number for Audrey Jackson is 1366209264 and holds a License No. 5805 (Mississippi).

The current practice location address for Audrey Jackson is 1721 W 10Th St, Laurel, MS and can be reached out via phone at 601-425-9322 and via fax at 601-425-3231.

Location: 1721 W 10Th St, Laurel, MS, 39404-8679
person
Provider Profile Details
NPI Number
1366209264
Provider Name
Audrey Jackson
Credential
PCNHT
Provider Entity Type
Individual
Gender
Female
Address
1721 W 10Th St, Laurel, MS, 39404-8679
Phone Number
601-425-9322
Fax Number
601-425-3231
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1721 W 10Th St
City
State
Zip
39440-2540
Phone Number
601-425-9322
Fax Number
601-425-3231
person
Provider Business Mailing Address Details
Address
1721 W 10Th St
City
State
Zip
39440-2540
Phone Number
601-425-9322
Fax Number
601-425-3231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5805 (Mississippi)
Definition
Definition to come...
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