Individual
DR. JENNIFER AUSTIN MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 RICKY D BRITT SR BLVD STE 4, OXFORD, MS 38655-9103
(662) 417-2824
Mailing address
101 RICKY D BRITT SR BLVD STE 4, OXFORD, MS 38655-9103
(662) 417-2824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC002193
GA
101YP2500X
Professional Counselor
Primary
2046
MS
Other
Enumeration date
04/15/2009
Last updated
08/03/2020
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