Individual provider · Type 1 NPI

Michael Matthews Ii

Mental Health Counselor · Jackson, MS

NPI number 1104190628 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2497 Map

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2273 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1104190628

Michael Matthews Ii's National Provider Identifier is 1104190628, issued on Mar 1, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Mar 1, 2012.