Individual
JACQUELINE SMITH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M10879
MS
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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