AUDREY JACKSON

LAUREL, MS
NPI1366209264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  5805)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
AUDREY JACKSON PCNHT
1721 W 10TH ST
LAUREL, MS 39440-2540
Phone number: 601-425-9322
Mailing Address
AUDREY JACKSON PCNHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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