Individual
JASMINE PAULETTA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(662) 645-4801
Mailing address
157 MS-7, OXFORD, MS 38655
(662) 234-7521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
12/14/2022
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