Individual provider · Type 1 NPI

Jaqueline Tolleson Carter, LPC/MHSP

Mental Health Counselor · Southaven, MS

NPI number 1629321815 Active

Practice location

1045 Church Rd E Ste 2
Southaven, MS 38671-9702

Call (662) 235-9063 Map

Fax (662) 536-7439

Other practice locations

  • 6858 Swinnea Rd, 4 Rutland Pl, Southaven, MS 38671-9493 · (662) 772-5937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1733 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1629321815

Jaqueline Tolleson Carter, LPC/MHSP's National Provider Identifier is 1629321815, issued on Oct 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southaven, MS. The record was last updated on Feb 12, 2021.