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Jamie Juanico
Addiction (Substance Use Disorder) Counselor in Pascagoula, Mississippi
NPI 1477159317

Jamie Juanico is an Addiction (Substance Use Disorder) Counselor based in Biloxi, MS and is specialized in Addiction (Substance Use Disorder). Jamie Juanico practices in Pascagoula, MS. The NPI Number for Jamie Juanico is 1477159317 and holds a License No. (Mississippi).

The current practice location address for Jamie Juanico is 4905 Telephone Rd, Pascagoula, MS and can be reached out via phone at 228-382-9005.

Location: 4905 Telephone Rd, Pascagoula, MS, 39532-9193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477159317
Provider Name
Jamie Juanico
Credential
Provider Entity Type
Individual
Gender
Female
Address
4905 Telephone Rd, Pascagoula, MS, 39532-9193
Phone Number
228-382-9005
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
4905 Telephone Rd
City
Pascagoula
State
Mississippi
Zip
39567-1823
Phone Number
228-382-9005
Fax Number
person
Provider Business Mailing Address Details
Address
4905 Telephone Rd
City
Pascagoula
State
Mississippi
Zip
39567-1823
Phone Number
228-382-9005
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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