Elizabeth Jackson, LPC

NPI #1588179733 in Purvis, Mississippi

Provider Information

NPI Number: 1588179733
Entity Type: Individual
Name: Elizabeth Jackson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Dec 11, 2017
Last Updated: Dec 11, 2017

Practice Location

Address: 805 HIGHWAY 589
City: Purvis
State: Mississippi
ZIP Code: 39475-4194
Phone: (601) 794-6543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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