Organization
FAMILY CONNECTIONS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSIE LUSTER SINGLETON LCSW (ADMINISTRATOR)
(601) 434-2977
Entity
Organization
Contact information
Practice address
418 LIBERTY RD, NATCHEZ, MS 39120-4314
(601) 434-2977
Mailing address
418 LIBERTY RD, NATCHEZ, MS 39120-4314
(601) 434-2977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5919
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09907518
—
MS
01
—
1508192949
NPI
MS
Enumeration date
08/18/2016
Last updated
08/18/2016
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