Individual
MS. CASSANDRA LOVETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
1042 WE ROSS PKWY W, SOUTHAVEN, MS 38671-8424
(901) 846-7559
Mailing address
1042 WE ROSS PKWY W, SOUTHAVEN, MS 38671-8424
(901) 846-7559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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