Individual
MS. JESSICA LAUREN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6023 WOODHAVEN RD, JACKSON, MS 39206-2528
(601) 919-6603
Mailing address
6023 WOODHAVEN RD, JACKSON, MS 39206-2528
(601) 919-6603
(601) 919-6603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013846
GA
101YM0800X
Mental Health Counselor
0182
NM
101YM0800X
Mental Health Counselor
21937
CA
101YM0800X
Mental Health Counselor
3805
MS
101YM0800X
Mental Health Counselor
8547
LA
101YM0800X
Mental Health Counselor
91336
TX
101YP2500X
Professional Counselor
Primary
013846
GA
101YP2500X
Professional Counselor
0182
NM
101YP2500X
Professional Counselor
21937
CA
101YP2500X
Professional Counselor
2609
MS
101YP2500X
Professional Counselor
8547
LA
101YP2500X
Professional Counselor
91336
TX
101YP2500X
Professional Counselor
CTB-2023-0182
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01670076
—
MS
Enumeration date
01/10/2017
Last updated
04/16/2026
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