Individual
JARROD HUCKLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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