Individual
MRS. JENNIFER LEE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12337 ASHLEY DR STE C, GULFPORT, MS 39503-2753
(228) 326-5192
Mailing address
92 ROLAND RD, PERKINSTON, MS 39573-5040
(228) 326-5192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC
MS
101YP2500X
Professional Counselor
Primary
1446
MS
Other
Enumeration date
06/08/2009
Last updated
09/28/2020
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