Jacqueline Thomas, LPC

NPI #1629298914 in Booneville, Mississippi

Provider Information

NPI Number: 1629298914
Entity Type: Individual
Name: Jacqueline Thomas, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Apr 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2100 EAST CHAMBERS STREET
City: Booneville
State: Mississippi
ZIP Code: 38829
Phone: (662) 728-3174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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