Organization
JACKSON FAMILY FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDA M. RHODES (OWNER)
(601) 503-4563
Entity
Organization
Contact information
Practice address
125 CEDARWOOD DR, JACKSON, MS 39212-2208
(601) 503-4563
Mailing address
125 CEDARWOOD DR, JACKSON, MS 39212-2208
(601) 503-4563
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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