Individual provider · Type 1 NPI

Le'kesa Fullilove, PCMHT

Mental Health Counselor · Jackson, MS

NPI number 1356791040 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3755 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1356791040

Le'kesa Fullilove, PCMHT's National Provider Identifier is 1356791040, issued on Jun 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jun 14, 2016.