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

TaxonomyCodeLicense
Counselor Primary 101Y00000X3235 (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.

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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.