Mcwillie Counseling & Diagnostic Services | |
5202 Keele St Ste 1 Jackson MS 39206-4355 | |
(601) 982-8624 | |
Not Available |
Full Name | Mcwillie Counseling & Diagnostic Services |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5202 Keele St Ste 1, Jackson, Mississippi |
Authorized Official Name and Position | Delilah J. Moore (CLINICAL DIRECTOR) |
Authorized Official Contact | 6019828624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcwillie Counseling & Diagnostic Services 5202 Keele Street, Suite 1 Jackson MS 39206 Ph: (601) 982-8624 | Mcwillie Counseling & Diagnostic Services 5202 Keele St Ste 1 Jackson MS 39206-4355 Ph: (601) 982-8624 |
NPI Number | 1780852194 |
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Provider Enumeration Date | 02/19/2008 |
Last Update Date | 02/19/2008 |
Identifier | Type | State | Issuer |
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1780852194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 00281 (Mississippi) | Primary |
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