Individual
JAIMIE LEE DUTOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, LPC-S
Contact information
Practice address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(662) 536-6210
Mailing address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(662) 292-8204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2596
MS
101YP2500X
Professional Counselor
4182
TN
Other
Enumeration date
03/22/2018
Last updated
09/24/2023
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