Individual
JACQUELYN D MCDOUGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 HINTON DR, HATTIESBURG, MS 39401-8406
(601) 705-1901
Mailing address
125 HINTON DR, HATTIESBURG, MS 39401-8406
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1410
MS
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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