Organization
SOUTHERN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR G EVANS (DIRECTOR)
(601) 238-0849
Entity
Organization
Contact information
Practice address
428 W NORTHSIDE DR, JACKSON, MS 39206-4636
(601) 238-0849
Mailing address
5050B WAYNELAND DR, JACKSON, MS 39211-4425
(601) 238-0849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2008000665
MS
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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