Jessica M Green
NPI #1114247590 in Summit, Mississippi
Provider Information
- NPI Number
- 1114247590
- Entity Type
- Individual
- Name
- Jessica M Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 8, 2010
- Last Updated
- Jun 8, 2010
Practice Location
- Address
- 301 ROBB ST
- City
- Summit
- State
- Mississippi
- ZIP Code
- 39666-7053
- Phone
- (601) 276-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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