Individual
KASHANTA MURPHY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13 PRESIDENTS DR, MOORHEAD, MS 38761-6601
(662) 588-0486
Mailing address
13 PRESIDENTS DR, MOORHEAD, MS 38761-6601
(662) 588-0486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2308
MS
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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