Individual
MRS. BERNADETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
M8886
MS
Other
Enumeration date
08/19/2011
Last updated
08/26/2024
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