Organization
DR. MICHELLE JEANFREAU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE JEANFREAU PHD, LMFT (OWNER)
(601) 385-5543
Entity
Organization
Contact information
Practice address
12337 ASHLEY DR STE C, GULFPORT, MS 39503-2753
(601) 385-5543
Mailing address
17328 SAUCIER LIZANA RD, SAUCIER, MS 39574-9665
(601) 385-5543
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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