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Jada Cooper, PCCSS
Counselor in Gulfport, Mississippi
NPI 1891472353

Jada Cooper is a Counselor based in Hattiesburg, MS. Jada Cooper practices in Gulfport, MS and has the professional credentials of PCCSS. The NPI Number for Jada Cooper is 1891472353 and holds a License No. 3835 (Mississippi).

The current practice location address for Jada Cooper is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-213-5888 and via fax at 228-575-3433.

Location: 1600 Broad Ave, Gulfport, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891472353
Provider Name
Jada Cooper
Credential
PCCSS
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39404-8679
Phone Number
228-213-5888
Fax Number
228-575-3433
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-3603
Phone Number
228-213-5888
Fax Number
228-575-3433
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-3603
Phone Number
228-213-5888
Fax Number
228-575-3433
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3835 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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