Individual
MRS. SUSAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCP,NCC,LPC
Contact information
Practice address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
Mailing address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
864
MS
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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