NPI | 1366057598 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA DENISE THOMAS Licensed Professional Counselor 601-376-9248 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-17 |