Individual
JEANNETTE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
217 COURT STREET, WEST POINT, MS 39773
(662) 494-7060
(662) 524-3737
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9318
(662) 323-5553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
08/17/2022
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