Individual
JESSICA ELLEN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
2130 GOVERNMENT ST STE A, OCEAN SPRINGS, MS 39564-3937
(228) 382-3107
(800) 854-0906
Mailing address
2130 GOVERNMENT ST STE A, OCEAN SPRINGS, MS 39564-3937
(228) 382-3107
(800) 854-0906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
T0437
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
10/13/2006
Last updated
05/09/2019
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