ELIJAH MCDANIEL

JACKSON, MS
NPI1306775333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  P-1488)
Enumeration Date2026-05-15
Last Update Date2026-05-15
Business Address
ELIJAH MCDANIEL
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
ELIJAH MCDANIEL
459 BUENA VISTA AVE
JACKSON, MS 39209-6406
Phone number: 662-588-2060