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1184328890
INNOVATIVE COUNSELING OF MISSISSIPPI, PLLC
JACKSON, MS
NPI
1184328890
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Entity Type
Organization
Authorized Contact
SARAH MARIE PRADILLO
Owner
601-708-9558
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-28
Last Update Date
2023-04-04
Business Address
INNOVATIVE COUNSELING OF MISSISSIPPI, PLLC
4780 1-55 N SUITE 100-103
JACKSON, MS 39211
Phone number: 601-708-9558
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Mailing Address
INNOVATIVE COUNSELING OF MISSISSIPPI, PLLC
115 BELLEGROVE BLVD
BRANDON, MS 39047-6625
Phone number:
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