Individual provider · Type 1 NPI
Jeanie Woolledge, PhD
Counselor · Picayune, MS
NPI number
1922404912
Active
Practice location
116 E Canal St
Picayune, MS 39466-4500
Mailing address
32 Patrice Rd
Picayune, MS 39466-8159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 3235 (MS) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1922404912
Jeanie Woolledge, PhD's National Provider Identifier is 1922404912, issued on Nov 18, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Picayune, MS. The record was last updated on Dec 15, 2025.