Organization
DEFINING YOU THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDACE ROSS (OWNER)
(601) 278-7137
Entity
Organization
Contact information
Practice address
2941 TERRY RD STE 1, JACKSON, MS 39212-3071
(601) 278-7137
Mailing address
10 CANEBRAKE BLVD, FLOWOOD, MS 39232-2211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
11/07/2021
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