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Organization
SUMMIT COUNSELING
Active
Organization
SUMMIT COUNSELING
Active
Parent organization
FIRST BAPTIST CHRUCH JACKSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST BAPTIST CHRUCH JACKSON
Authorized official
DR. RON MUMBOWER PH.D. (DIRECTOR)
(601) 949-1949
Entity
Organization
Contact information
Practice address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
(601) 714-6922
Mailing address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
(601) 714-6922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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