Jessica M Baskett

NPI #1942752043 in Gulfport, Mississippi

Provider Information

NPI Number: 1942752043
Entity Type: Organization
Organization Name: Jessica M Baskett
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 25, 2016
Last Updated: Oct 25, 2016

Practice Location

Address: 1520 29TH AVE
Address 2: SUITE 19
City: Gulfport
State: Mississippi
ZIP Code: 39501-2843
Phone: (662) 295-6131

Authorized Official

Name: JESSICA M BASKETT, LPC
Title: OWNER
Phone: (662) 295-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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