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Individual

MRS. JONA M KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, PMHCNS-BC

Contact information

Practice address
361 TOWNE CENTER PL, SUITE 1300, RIDGELAND, MS 39157-4869
(601) 977-9353
(601) 977-9422
Mailing address
361 TOWNE CENTER PL, SUITE 1300, RIDGELAND, MS 39157-4869
(601) 977-9353
(601) 977-9422

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0203
MS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
R533084
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20 520558L
TAX ID FOR A BRIDGE TO RECOVERY
MS
Enumeration date
09/26/2006
Last updated
12/30/2010
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