Individual
J SUSAN HAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCAP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1386
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97-027M
MS
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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