Individual provider · Type 1 NPI

Jordan Danielle Fugett

Mental Health Counselor · Tupelo, MS

NPI number 1134465735 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 844-1717 Map

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134465735

Jordan Danielle Fugett's National Provider Identifier is 1134465735, issued on Dec 31, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Dec 31, 2012.