Individual
MONICA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1513 LAKELAND DR, JACKSON, MS 39216-4829
(601) 939-7990
Mailing address
1513 LAKELAND DR, JACKSON, MS 39216-4829
(601) 939-7990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1846
MS
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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