Individual provider · Type 1 NPI

Nicole Y. Outlaw

Mental Health Counselor · Jackson, MS

NPI number 1528306016 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2400 Map

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2016 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1528306016

Nicole Y. Outlaw's National Provider Identifier is 1528306016, issued on Jan 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jan 18, 2013.