Individual provider · Type 1 NPI

Elijah McDaniel

Mental Health Counselor · Jackson, MS

NPI number 1306775333 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2400 Map

Mailing address

459 Buena Vista Ave
Jackson, MS 39209-6406

Other practice locations

  • 1815 Hospital Dr, Jackson, MS 39204-3425 · (769) 233-7429

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP-1488 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1306775333

Elijah McDaniel's National Provider Identifier is 1306775333, issued on May 15, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on May 15, 2026.