Individual
MAKESHIA WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 PINE LN, JACKSON, MS 39212-3563
(769) 243-3372
Mailing address
655 PINE LN, JACKSON, MS 39212-3563
(769) 243-3372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3057
MS
Other
Enumeration date
03/27/2019
Last updated
03/20/2025
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