Individual
JESSIE LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4500 INTERSTATE 55 NORTH, SUITE 208, JACKSON, MS 39211
(601) 292-6260
(601) 487-8115
Mailing address
2575 NAPOLEON AVE, PEARL, MS 39208-6337
(601) 985-7006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3075
MS
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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