Organization
WILSON-SIGREST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SIGREST MS (MEMBER MANAGER)
(601) 398-5436
Entity
Organization
Contact information
Practice address
357 TOWNE CENTER BLVD., SUITE 203, RIDGELAND, MS 39157
(601) 398-5436
Mailing address
103 HILLCREST DR, CLINTON, MS 39056-4309
(601) 398-5436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 0557
MS
1041C0700X
Clinical Social Worker
Primary
C5370
MS
Other
Enumeration date
11/07/2012
Last updated
11/16/2012
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