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

MR. LEON TREMAIN JACKSON, EDS, MS, NCC, LPC

Active Sole Proprietor

MR. LEON TREMAIN JACKSON, EDS, MS, NCC, LPC is a Counselor healthcare provider located in VICKSBURG, Mississippi. NPI 1699141531 is currently active in the NPPES registry. Verify at CMS.

Counselor · VICKSBURG, MS

Registration Details

NPI Number
1699141531
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2015 (10.978772660693 yrs)
Last Updated
Aug 14, 2015
Licenses
2016 (MS)
2016 (MS)
2016 (MS)
2016 (MS)
2016 (MS)
Sole Proprietor
Yes

Practice Information

Address
1115B OPENWOOD ST
VICKSBURG, MS, 391832533
Browse MS providers · Browse ZIP 39183
Phone
3183412202
Fax
6015011030
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Marriage & Family Therapist

Other Counselor Providers in VICKSBURG, MS

Name Credential NPI
KRYSTLE SEATON 1821599135
TESSA CROSBY 1306332267
KIMBERLY SHERI DANIELS 1265907901
JAMIA KIANA SANDERS 1679038525
NATASHA HILL 1437716339
MRS. CINDY MARIE LESCALLETTE MCCARLEY LPC, NBCC 1942820717
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.