Individual
MS. ENA SIMONE GOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
860 E RIVER PL, JACKSON, MS 39202-3442
(601) 642-8845
Mailing address
9 ROUX 61 DR STE C, NATCHEZ, MS 39120-2176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/15/2006
Last updated
01/06/2021
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