Individual
BRANDY GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4910
(769) 251-5550
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4910
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M10049
MS
Other
Enumeration date
01/06/2020
Last updated
05/15/2023
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