Individual
JACEY MELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
232 GOODMAN RD W, SOUTHAVEN, MS 38671-8004
(662) 856-9563
Mailing address
111 RIDGE RD, SARAH, MS 38665-3417
(601) 543-9702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3385
MS
101YP2500X
Professional Counselor
Primary
P-0989
MS
Other
Enumeration date
09/26/2023
Last updated
02/06/2026
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