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Organization
PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA
Active
Organization
PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMECA LEONORA HUDSON FNP, DNP-BC, PMHNP-B (CEO)
(769) 572-4009
Entity
Organization
Contact information
Practice address
717 E FORTIFICATION ST, JACKSON, MS 39202-2402
(769) 572-4009
(769) 572-4021
Mailing address
717 E FORTIFICATION ST, JACKSON, MS 39202-2402
(769) 572-4009
(769) 572-4021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
10/28/2019
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