Individual provider · Type 1 NPI

Lee-Keethia Tyanne Thompson-Porter, CMHT

Mental Health Counselor · Jackson, MS

NPI number 1861856841 Active

Practice location

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

Call (601) 956-4816 Map

Fax (601) 956-4817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCMHT2942 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1861856841

Lee-Keethia Tyanne Thompson-Porter, CMHT's National Provider Identifier is 1861856841, issued on Apr 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jun 2, 2022.