Individual provider · Type 1 NPI

Mary Luckett

Mental Health Counselor · Jackson, MS

NPI number 1801160312 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCH0660 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1801160312

Mary Luckett's National Provider Identifier is 1801160312, issued on Mar 1, 2012. 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 1, 2012.