| Southern Counseling Center | |
|
428 W Northside Dr Jackson MS 39206-4636 | |
| (601) 238-0849 | |
| Not Available |
| Full Name | Southern Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 428 W Northside Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Victor G Evans (DIRECTOR) |
| Authorized Official Contact | 6012380849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Counseling Center 5050b Wayneland Dr Jackson MS 39211-4425 Ph: (601) 238-0849 | Southern Counseling Center 428 W Northside Dr Jackson MS 39206-4636 Ph: (601) 238-0849 |
| NPI Number | 1528405966 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528405966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2008000665 (Mississippi) | Primary |
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