Individual
JACQUELINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
43 DR MARTIN LUTHER KING JR DR, MACON, MS 39341-2734
(662) 726-5042
(662) 726-5009
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4910
(769) 251-5550
(769) 251-5590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
04/26/2023
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