Lakeland Counseling Associates, Llc | |
1640 Lelia Dr Suite 140 Jackson MS 39216-4832 | |
(601) 981-5678 | |
(601) 981-5996 |
Full Name | Lakeland Counseling Associates, Llc |
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Speciality | Counselor - Professional |
Location | 1640 Lelia Dr, Jackson, Mississippi |
Authorized Official Name and Position | Walter L Frazier (COUNSELOR) |
Authorized Official Contact | 6019815678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeland Counseling Associates, Llc 1640 Lelia Dr Suite 140 Jackson MS 39216-4832 Ph: (601) 981-5678 | Lakeland Counseling Associates, Llc 1640 Lelia Dr Suite 140 Jackson MS 39216-4832 Ph: (601) 981-5678 |
NPI Number | 1346451382 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346451382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 779 (Mississippi) | Primary |
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