| Progressive Movement Counseling & Consultation Services, Llc | |
|
5735 Angle St Jackson MS 39206-2905 | |
| (601) 201-4421 | |
| Not Available |
| Full Name | Progressive Movement Counseling & Consultation Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5735 Angle St, Jackson, Mississippi |
| Authorized Official Name and Position | Jerrilyn Dixson (THERAPIST) |
| Authorized Official Contact | 6012014421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Movement Counseling & Consultation Services, Llc 5735 Angle St Jackson MS 39206-2905 Ph: () - | Progressive Movement Counseling & Consultation Services, Llc 5735 Angle St Jackson MS 39206-2905 Ph: (601) 201-4421 |
| NPI Number | 1184099749 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184099749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1980 (Mississippi) | Primary |
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