Individual
TENELLE ELAINE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 BRIARWOOD DR STE 510, JACKSON, MS 39206-3057
(601) 956-4816
(601) 956-4816
Mailing address
PO BOX 13509, JACKSON, MS 39236-3509
(601) 956-4816
(601) 956-4817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PH3532
MS
101YP2500X
Professional Counselor
Primary
2965
MS
Other
Enumeration date
08/03/2017
Last updated
06/27/2023
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