Individual provider · Type 1 NPI

Shada Jakes, MSW

Mental Health Counselor · Jackson, MS

NPI number 1669842068 Active

Practice location

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Call (601) 956-4816 Map

Fax (601) 956-4817

Mailing address

PO Box 1046
Clarksdale, MS 38614-1046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669842068

Shada Jakes, MSW's National Provider Identifier is 1669842068, issued on Sep 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Mar 24, 2022.