Individual
LEIGH BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1850 PARKRIDGE DR, JACKSON, MS 39211-6001
(601) 278-4818
Mailing address
361 TOWNE CENTER PL STE 1300, RIDGELAND, MS 39157-4866
(601) 977-9353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2429
MS
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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