# DR. MICHELLE JEANFREAU LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053911586
- **Authorized official:** DR. MICHELLE JEANFREAU PHD, LMFT (OWNER)
- **Authorized official phone:** (601) 385-5543

## Contact information

- **Practice address:** 12337 ASHLEY DR STE C, GULFPORT, MS 39503-2753
- **Practice address phone:** (601) 385-5543
- **Mailing address:** 17328 SAUCIER LIZANA RD, SAUCIER, MS 39574-9665
- **Mailing address phone:** (601) 385-5543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020