Search › Mississippi › 101Y00000X
Leon Jackson, EDS, MS, NCC, LPC
NPI 1699141531 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1115b Openwood St
Vicksburg, MS 39183 - Phone
- (318) 341-2202
- Fax
- (601) 501-1030
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
101YM0800X
101YP2500X
106H00000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-14
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