Organization · Type 2 NPI

Wyatt & Jackson Center for Change, LLC

Mental Health Counselor · Jackson, MS

NPI number 1801316807 Active

Practice location

2637 Ridgewood Road Suite 100
Jackson, MS 39216

Call (601) 981-8846 Map

Fax (601) 981-8873

Mailing address

2637 Ridgewood Rd Ste 100
Jackson, MS 39216-4922

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801316807

Wyatt & Jackson Center for Change, LLC's National Provider Identifier is 1801316807, issued on Jun 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jul 21, 2022.