person
Jennifer Green
Mental Health Counselor in Jackson, Mississippi
NPI 1619482361

Jennifer Green is a Mental Health Counselor based in Greenwood, MS and is specialized in Mental Health. Jennifer Green practices in Jackson, MS. The NPI Number for Jennifer Green is 1619482361 and holds a License No. 801662017 (Mississippi).

The current practice location address for Jennifer Green is 4780 I 55 N Ste 105, Jackson, MS and can be reached out via phone at 601-956-4816 and via fax at 601-956-4817.

Location: 4780 I 55 N Ste 105, Jackson, MS, 38930-6022
person
Provider Profile Details
NPI Number
1619482361
Provider Name
Jennifer Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
4780 I 55 N Ste 105, Jackson, MS, 38930-6022
Phone Number
601-956-4816
Fax Number
601-956-4817
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01670076 05 MS
institution
Provider Business Practice Location Address Details
Address
4780 I 55 N Ste 105
City
State
Zip
39211-5542
Phone Number
601-956-4816
Fax Number
601-956-4817
person
Provider Business Mailing Address Details
Address
4780 I 55 N Ste 105
City
State
Zip
39211-5542
Phone Number
601-956-4816
Fax Number
601-956-4817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
801662017 (Mississippi)
Definition
Definition to come...
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