Individual
CHACKETA L MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Mailing address
1001 MAIN ST, COLUMBUS, MS 39701-4751
(662) 328-9225
(662) 328-4735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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