| Progressive Counseling Services | |
|
4795 Mcwillie Dr Ste 215 Jackson MS 39206-5628 | |
| (601) 624-1524 | |
| Not Available |
| Full Name | Progressive Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4795 Mcwillie Dr Ste 215, Jackson, Mississippi |
| Authorized Official Name and Position | Vernetta Lesia Bolden (COUNSELOR) |
| Authorized Official Contact | 6016241524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Counseling Services 4795 Mcwillie Dr Ste 215 Jackson MS 39206-5628 Ph: (601) 624-1524 | Progressive Counseling Services 4795 Mcwillie Dr Ste 215 Jackson MS 39206-5628 Ph: (601) 624-1524 |
| NPI Number | 1609249366 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609249366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1825 (Mississippi) | Primary |
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