Individual
ANDREW NOBLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
207 W JACKSON ST, SUITE 1, RIDGELAND, MS 39157-2355
(601) 982-9551
Mailing address
207 W JACKSON ST, SUITE 1, RIDGELAND, MS 39157-2355
(601) 896-3079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1799
MS
Other
Enumeration date
08/26/2013
Last updated
10/15/2015
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