Organization
LIFE CHOICES COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA FAYE MASON (OWNER)
(601) 624-4070
Entity
Organization
Contact information
Practice address
4807 N STATE ST, JACKSON, MS 39206-4826
(601) 624-4070
Mailing address
4807 N STATE ST, JACKSON, MS 39206-4826
(601) 624-4070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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