Individual
MRS. JESSICA COLIN HUMBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, PCMHT
Contact information
Practice address
113A S DAVIS AVE, CLEVELAND, MS 38732-3447
(662) 843-9445
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6853
MS
104100000X
Social Worker
M11473
MS
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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