Individual
ROBERT LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
HINDS BEHAVIORAL HEALTH SERVICES 3450 HWY 80 W, JACKSON, MS 39209-4443
(601) 321-2400
(601) 985-5174
Mailing address
828 BULLRUN CIR, BYRAM, MS 39272-4443
(601) 519-1011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1861
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
05/28/2014
Last updated
08/01/2019
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