Individual provider · Type 1 NPI
Jessica M. Green
Mental Health Counselor · Summit, MS
NPI number
1114247590
Active
Practice location
301 Robb St
Summit, MS 39666-7053
Fax (601) 249-4234
Mailing address
PO Box 768
Mccomb, MS 39649-0768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PH1965 (MS) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1114247590
Jessica M. Green's National Provider Identifier is 1114247590, issued on Jun 8, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Summit, MS. The record was last updated on Jun 8, 2010.