Individual
LINDSAY BOOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1513 LAKELAND DR STE 200, JACKSON, MS 39216-4861
(601) 939-7990
Mailing address
1855 LAKELAND DR APT 307, JACKSON, MS 39216-4928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3196
MS
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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