person
Ms. Lee-keethia Tyanne Thompson-porter, CMHT
Mental Health Counselor in Jackson, Mississippi
NPI 1861856841

Lee-keethia Tyanne Thompson-porter is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Lee-keethia Tyanne Thompson-porter practices in Jackson, MS and has the professional credentials of CMHT. The NPI Number for Lee-keethia Tyanne Thompson-porter is 1861856841 and holds a License No. CMHT2942 (Mississippi).

The current practice location address for Lee-keethia Tyanne Thompson-porter 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, 39211-5542
person
Provider Profile Details
NPI Number
1861856841
Provider Name
Lee-keethia Tyanne Thompson-porter
Credential
CMHT
Provider Entity Type
Individual
Gender
Female
Address
4780 I 55 N Ste 105, Jackson, MS, 39211-5542
Phone Number
601-956-4816
Fax Number
601-956-4817
Provider Enumeration Date
04/06/2016
Last Update Date
03/09/2024
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.
CMHT2942 (Mississippi)
Definition
Definition to come...
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