| Counseling And Mentoring Program | |
|
2964 Terry Road B-1 Jackson MS 39212 | |
| (601) 371-6500 | |
| Not Available |
| Full Name | Counseling And Mentoring Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2964 Terry Road B-1, Jackson, Mississippi |
| Authorized Official Name and Position | Danah Evans (ADMINISTRATOR) |
| Authorized Official Contact | 6013716500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Mentoring Program 2964 Terry Road B-1 Jackson MS 39212 Ph: (601) 371-6500 | Counseling And Mentoring Program 2964 Terry Road B-1 Jackson MS 39212 Ph: (601) 371-6500 |
| NPI Number | 1609164748 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609164748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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