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Organization
SALT AND LIGHT COUNSELING LLC
Active
Organization
SALT AND LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ERICKSON (THERAPIST)
(662) 856-9563
Entity
Organization
Contact information
Practice address
232 GOODMAN ROAD, SUITE 305, SOUTHAVEN, MS 38671
(662) 571-5539
Mailing address
232 GOODMAN ROAD, SUITE 305, SOUTHAVEN, MS 38671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
04/03/2024
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