Individual
JAN S PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 LONGINO ST, COLLINS, MS 39428-0158
(601) 517-2306
Mailing address
312 LONGINO ST, COLLINS, MS 39428-0158
(601) 517-4173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5732
MS
Other
Enumeration date
02/08/2019
Last updated
04/07/2023
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