| Supportive Connections Community Services | |
|
4780 155 N Ste 116 202048 Jackson MS 39211 | |
| (619) 722-8148 | |
| Not Available |
| Full Name | Supportive Connections Community Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4780 155 N, Jackson, Mississippi |
| Authorized Official Name and Position | Winfred Alarcon (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6197228148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Connections Community Services 4780 155 N Ste 116 202048 Jackson MS 39211 Ph: (619) 722-8148 | Supportive Connections Community Services 4780 155 N Ste 116 202048 Jackson MS 39211 Ph: (619) 722-8148 |
| NPI Number | 1720804354 |
|---|---|
| Provider Enumeration Date | 11/27/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720804354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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