Individual
MS. LINDSAY AVENT JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.C.C., L.P.C.
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL CLINIC 9, JACKSON, MS 39213-7681
(601) 984-5836
(601) 815-8708
Mailing address
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL CLINIC 9, JACKSON, MS 39213-7681
(601) 984-5836
(601) 815-8708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1454
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02438563
—
MS
Enumeration date
06/08/2009
Last updated
08/07/2020
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