Individual
MS. JUAKITA L. GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1415 35TH AVE, MERIDIAN, MS 39301-3628
(786) 671-2808
Mailing address
PO BOX 16342, JACKSON, MS 39236-6342
(601) 316-3748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1644
MS
Other
Enumeration date
03/07/2013
Last updated
05/20/2021
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