Individual
DR. KRISTINE MARIE JACQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 MAGRUDER HALL, MISSISSIPPI STATE, MS 39762-2420
(662) 325-1022
(662) 325-7212
Mailing address
PO BOX 2420, MISSISSIPPI STATE, MS 39762-2420
(662) 325-1022
(662) 325-7212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
40-026
MS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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