JAQUAY JACKSON

LAUREL, MS
NPI1396307179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
JAQUAY JACKSON CMHT
119 S 12TH AVE
LAUREL, MS 39440-4322
Phone number: 601-342-8215
Mailing Address
JAQUAY JACKSON CMHT
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number:
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