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Organization
BEST OUTCOMES THERAPEUTIC SERVICES, LLC
Active
Organization
BEST OUTCOMES THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENISHA GORDON LPC (CO-OWNER)
(504) 813-4968
Entity
Organization
Contact information
Practice address
787 E NORTHSIDE DR, JACKSON, MS 39206-4945
(504) 813-4968
Mailing address
PO BOX 587, CLINTON, MS 39060-0587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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