Individual provider · Type 1 NPI

Jackie Boddy

Mental Health Counselor · Jackson, MS

NPI number 1891240818 Active

Practice location

460 Briarwood Dr, Suite 510
Jackson, MS 39206-3051

Fax (601) 956-4817

Mailing address

PO Box 13509
Jackson, MS 39236-3509

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

18 other providers at this address

Other mental health counselor providers in Jackson

See all in Jackson →

About NPI 1891240818

Jackie Boddy's National Provider Identifier is 1891240818, issued on Aug 19, 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 Aug 19, 2016.