| Jesse M Mitchell, Lcsw, Pllc | |
|
5 Orleans Dr Ste 3 Hattiesburg MS 39402-2109 | |
| (662) 304-9043 | |
| Not Available |
| Full Name | Jesse M Mitchell, Lcsw, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5 Orleans Dr Ste 3, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Jesse Mae Mitchell (OWNER/THERAPIST) |
| Authorized Official Contact | 9857911925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse M Mitchell, Lcsw, Pllc 35 E Andover Hattiesburg MS 39402-1282 Ph: (662) 304-9043 | Jesse M Mitchell, Lcsw, Pllc 5 Orleans Dr Ste 3 Hattiesburg MS 39402-2109 Ph: (662) 304-9043 |
| NPI Number | 1376366245 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376366245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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