| Defining You Therapeutic Services | |
|
2941 Terry Rd Ste 1 Jackson MS 39212-3071 | |
| (601) 278-7137 | |
| Not Available |
| Full Name | Defining You Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 2941 Terry Rd Ste 1, Jackson, Mississippi |
| Authorized Official Name and Position | Kandace Ross (OWNER) |
| Authorized Official Contact | 6012787137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defining You Therapeutic Services 10 Canebrake Blvd Flowood MS 39232-2211 Ph: () - | Defining You Therapeutic Services 2941 Terry Rd Ste 1 Jackson MS 39212-3071 Ph: (601) 278-7137 |
| NPI Number | 1598346041 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 11/07/2021 |
| Certification Date | 11/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598346041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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