Individual
DR. KEITH L. HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
405 BRIARWOOD DR, STE. 106E, JACKSON, MS 39206-3052
(601) 991-3156
Mailing address
PO BOX 14073, JACKSON, MS 39236-4073
(601) 991-3156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
992
MS
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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