Individual
JERRILYN DIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HIGHLAND PKWY, RIDGELAND, MS 39157-2073
(601) 201-4421
Mailing address
5143 MCCOY DR, JACKSON, MS 39211-4547
(601) 201-4421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1980
MS
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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