Individual
JESSICA M BASKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
398 E MAIN ST, TUPELO, MS 38804
(662) 295-6131
Mailing address
73 COLBERT DR, COLUMBUS, MS 39705-9310
(662) 295-6131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
08/28/2018
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