Organization · Type 2 NPI

Primary and Behavioral Healthcare Services, PA

Mental Health Counselor · Jackson, MS

NPI number 1679135982 Active

Practice location

717 E Fortification St
Jackson, MS 39202-2402

Call (769) 572-4009 Map

Fax (769) 572-4021

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679135982

Primary and Behavioral Healthcare Services, PA's National Provider Identifier is 1679135982, issued on Jul 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Oct 28, 2019.