Organization
PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRILYN DIXSON LPC, NCC (THERAPIST)
(601) 201-4421
Entity
Organization
Contact information
Practice address
5735 ANGLE ST, JACKSON, MS 39206-2905
(601) 201-4421
Mailing address
5735 ANGLE ST, JACKSON, MS 39206-2905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1980
MS
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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