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Organization
FAMILY CONNECTIONS COUNSELING CENTER LLC
Active
Organization
FAMILY CONNECTIONS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSIE LUSTER SINGLETON LCSW (ADMINISTRATOR)
(601) 434-2977
Entity
Organization
Contact information
Practice address
418 LIBERTY RD, NATCHEZ, MS 39120-4314
(601) 434-2977
Mailing address
418 LIBERTY RD, NATCHEZ, MS 39120-4314
(601) 434-2977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5919
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09907518
—
MS
01
—
1508192949
NPI
MS
Enumeration date
08/18/2016
Last updated
08/18/2016
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