Individual
MRS. JENELIA K BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
155 BUCKHEAD DR, MADISON, MS 39110-6615
(601) 955-8107
Mailing address
155 BUCKHEAD DR, MADISON, MS 39110-6615
(601) 955-8107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MS
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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