Individual provider · Type 1 NPI

Georgia Van Leijsen

Mental Health Counselor · Ridgeland, MS

NPI number 1871974055 Active · reactivated Jun 3, 2024

Practice location

599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157-6075

Call (601) 202-5980 Map

Mailing address

4654 Hickory Ridge Rd
Jackson, MS 39211-5846

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT715 (NM)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1871974055

Georgia Van Leijsen's National Provider Identifier is 1871974055, issued on Jun 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgeland, MS. The record was last updated on Jun 3, 2024.