Individual
ALICIA D MAINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1755 LELIA DR STE 405-701, JACKSON, MS 39216-4828
(601) 456-2633
Mailing address
1755 LELIA DR STE 405-701, JACKSON, MS 39216-4828
(601) 456-2633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
1513
MS
106H00000X
Marriage & Family Therapist
256
LA
Other
Enumeration date
02/24/2011
Last updated
03/31/2026
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