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Organization
WATERSHED COUNSELING ASSOCIATES, PLLC
Active
Organization
WATERSHED COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SCHULTE MAMFT, LPC, CSAS (CO OWNER, LPC)
(601) 842-4385
Entity
Organization
Contact information
Practice address
1635 LELIA DR STE 203, JACKSON, MS 39216-4874
(601) 362-7020
Mailing address
1635 LELIA DR STE 203, JACKSON, MS 39216-4874
(601) 362-7020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1207
MS
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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