Individual
ELLEEANNA LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAT,LMSW
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 985-5174
Mailing address
1246 PLANTATION BLVD, JACKSON, MS 39211-2709
(601) 321-2433
(601) 985-5174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M10993
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
09/13/2017
Last updated
04/17/2026
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