Individual provider · Type 1 NPI

Audrey Jackson, PCNHT

Mental Health Counselor · Laurel, MS

NPI number 1366209264 Active

Practice location

1721 W 10th St
Laurel, MS 39440-2540

Fax (601) 425-3231

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5805 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1366209264

Audrey Jackson, PCNHT's National Provider Identifier is 1366209264, issued on Mar 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laurel, MS. The record was last updated on Mar 6, 2024.