person
Shada Jakes, MSW
Mental Health Counselor in Jackson, Mississippi
NPI 1669842068

Shada Jakes is a Mental Health Counselor based in Clarksdale, MS and is specialized in Mental Health. Shada Jakes practices in Jackson, MS and has the professional credentials of MSW. The NPI Number for Shada Jakes is 1669842068 and holds a License No. (Mississippi).

The current practice location address for Shada Jakes 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, 38614-1046
person
Provider Profile Details
NPI Number
1669842068
Provider Name
Shada Jakes
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
4780 I 55 N Ste 105, Jackson, MS, 38614-1046
Phone Number
601-956-4816
Fax Number
601-956-4817
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
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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.
()
Definition
Definition to come...
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