Individual
MRS. JACQUELINE S TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
877 NORTHPARK DR STE 400, RIDGELAND, MS 39157-5220
(601) 454-5837
Mailing address
101 QUEENS WOOD, BRANDON, MS 39047-7722
(601) 454-5837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2833
MS
Other
Enumeration date
05/18/2021
Last updated
08/24/2022
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