Individual provider · Type 1 NPI

Donnell Nicholes JR

Mental Health Counselor · Jackson, MS

NPI number 1881425890 Active

Practice location

4735 Old Canton Rd Ste 111
Jackson, MS 39211-5500

Call (228) 896-1128 Map

Mailing address

126 Thornwood Dr
Clinton, MS 39056-6227

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1881425890

Donnell Nicholes JR's National Provider Identifier is 1881425890, issued on Aug 12, 2024. 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 22, 2026.