Individual
ANGELA TAMEKIA HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHT
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 321-2476
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
04/19/2011
Last updated
04/19/2011
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