Individual
SHAMEKA DENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 SPRINGDALE DR, JACKSON, MS 39211-3130
(601) 566-5282
Mailing address
1230 SPRINGDALE DR, JACKSON, MS 39211-3130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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