Individual
CHANDA M RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 CEDARWOOD DR, JACKSON, MS 39212-2208
(601) 503-4563
Mailing address
125 CEDARWOOD DR, JACKSON, MS 39212-2208
(601) 503-4563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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