Individual
MR. JACOB ALDEN DENNEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 MILLBRANCH RD, HATTIESBURG, MS 39402-1413
(601) 818-0471
Mailing address
15 MILLBRANCH RD, HATTIESBURG, MS 39402-1413
(601) 818-0471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
TA11463
MS
Other
Enumeration date
03/27/2025
Last updated
03/31/2025
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