Individual provider · Type 1 NPI
Jamarcus Keon Captville Sr.
Health Service Psychologist · Lucedale, MS
Practice location
433 Winter St
Lucedale, MS 39452-6607
Mailing address
950 Monterrey Blvd
Baton Rouge, LA 70815-1155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Another provider at this address
About NPI 1760293476
Jamarcus Keon Captville Sr.'s National Provider Identifier is 1760293476, issued on Jan 14, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lucedale, MS. The record was last updated on Jan 14, 2025.