Individual provider · Type 1 NPI

Deidere Hollins, LPC-S

Professional Counselor · Jackson, MS

NPI number 1336521970 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2400 Map

Fax (601) 985-5174

Mailing address

109 Magnolia Way
Pearl, MS 39208-3366

Other practice locations

  • 109 Magnolia Way, Pearl, MS 39208-3366 · (601) 573-9849

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1628 (MS)

Professional Counselor: Definition to come...

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About NPI 1336521970

Deidere Hollins, LPC-S's National Provider Identifier is 1336521970, issued on Jun 19, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Jul 11, 2018.