Individual provider · Type 1 NPI

Jane Fuller

Mental Health Counselor · Jackson, MS

NPI number 1457893240 Active

Practice location

1855 Lakeland Dr Ste R305
Jackson, MS 39216-4954

Call (601) 982-5376 Map

Fax (601) 982-5377

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2124 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1457893240

Jane Fuller's National Provider Identifier is 1457893240, issued on Nov 9, 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 Nov 9, 2016.