person
Jackie Boddy
Mental Health Counselor in Jackson, Mississippi
NPI 1891240818

Jackie Boddy is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Jackie Boddy practices in Jackson, MS. The NPI Number for Jackie Boddy is 1891240818 and holds a License No. (Mississippi).

The current practice location address for Jackie Boddy is 460 Briarwood Dr, Jackson, MS and can be reached out via phone at 601-956-4816 and via fax at 601-956-4817.

Location: 460 Briarwood Dr, Jackson, MS, 39236-3509
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Provider Profile Details
NPI Number
1891240818
Provider Name
Jackie Boddy
Credential
Provider Entity Type
Individual
Gender
Female
Address
460 Briarwood Dr, Jackson, MS, 39236-3509
Phone Number
601-956-4816
Fax Number
601-956-4817
Provider Enumeration Date
08/19/2016
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
460 Briarwood Dr
City
State
Zip
39206-3051
Phone Number
601-956-4816
Fax Number
601-956-4817
person
Provider Business Mailing Address Details
Address
460 Briarwood Dr
City
State
Zip
39206-3051
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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