| Audrey Jackson, PCNHT | |
|
1721 W 10th St, Laurel, MS 39440-2540 | |
| (601) 425-9322 | |
| (601) 425-3231 |
| Full Name | Audrey Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1721 W 10th St, Laurel, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366209264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5805 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Jackson, PCNHT Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Audrey Jackson, PCNHT 1721 W 10th St, Laurel, MS 39440-2540 Ph: (601) 425-9322 |
Claudia Jones, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520 | |
Ms. Isis Monique Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 | |
Akella White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1721 W 10th St, Laurel, MS 39440 Phone: 601-425-9322 | |
Makinley Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210 | |
Stephanie Lindsey, LCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 N 6th Ave, Laurel, MS 39440 Phone: 601-705-1901 | |
Jasmine Kinchen, IDD SERVICES Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520 | |
Jessica Bayless, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210 |