Individual provider · Type 1 NPI

Jaclyn Paredes, PCCSS

Mental Health Counselor · Gulfport, MS

NPI number 1336863869 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Fax (228) 575-3433

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3735 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1336863869

Jaclyn Paredes, PCCSS's National Provider Identifier is 1336863869, issued on Sep 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Sep 28, 2022.