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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAQUAY JACKSON, CMHT

Active

JAQUAY JACKSON, CMHT is a Counselor healthcare provider located in LAUREL, Mississippi. NPI 1396307179 is currently active in the NPPES registry. Verify at CMS.

Counselor · LAUREL, MS

Registration Details

NPI Number
1396307179
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2019 (7.0927491537026 yrs)
Last Updated
Jul 2, 2019

Practice Information

Address
119 S 12TH AVE
LAUREL, MS, 394404322
Browse MS providers · Browse ZIP 39440
Phone
6013428215
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in LAUREL, MS

Name Credential NPI
MR. STEVEN MIDGETTE LPC 1538177902
MS. CYNTHIA MARIE CARTER LPC 1346355500
KIMBERLY A BUFORD LPC 1720118409
ANGELA MICHELLE JONES LPC 1245360916
JAMES H MASTERS CIDDT 1790917383
JACQUELINE R GLASGOW CMHT 1538391206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.