Individual provider · Type 1 NPI

Ruby J. Jackson

Mental Health Counselor · Starkville, MS

NPI number 1659462984 Active

Practice location

302 N Jackson St
Starkville, MS 39759-2504

Fax (662) 323-5553

Mailing address

1032 State Hwy 50 W
West Point, MS 39773

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659462984

Ruby J. Jackson's National Provider Identifier is 1659462984, issued on Sep 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Starkville, MS. The record was last updated on Apr 20, 2011.