Individual
TRACEY NICHOLE SHERRON-SPIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1515 UNIVERSITY BLVD, JACKSON, MS 39204-3154
(903) 715-2603
Mailing address
5311 REDDOCH DR, JACKSON, MS 39211-4611
(903) 715-2603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
10056
OK
106H00000X
Marriage & Family Therapist
Primary
T10903
MS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/14/2015
Last updated
10/03/2024
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