Search › Mississippi › 101YP2500X

Ruby Jackson, DPC, LPC-S, NCC

NPI 1487162608 · on the registry since 2018 · sole proprietor

Practice

Address
302 Azalea Ct
Brandon, MS 39047
Phone
(601) 201-4134

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi