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Individual

DR. RUBY J JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPC, LPC-S, NCC

Contact information

Practice address
302 AZALEA CT, BRANDON, MS 39047-7952
(601) 201-4134
Mailing address
302 AZALEA CT, BRANDON, MS 39047-7952
(601) 201-4134

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1306
MS

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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