Individual
JESSICA JOSLIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(662) 536-6210
(662) 510-8820
Mailing address
3872 STATELINE RD W, SOUTHAVEN, MS 38671-1023
(662) 214-2314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-0783
MS
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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