| Doctor Name: | JESSICA M BASKETT |
| NPI Number: | 1083966303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | |
| Business Practice Address: | 2112 Bienville Blvd Ste G Ocean Springs, MS - 395643067 |
| Business Phone Number: | 2288751590 |
| Business Fax Number: | |
| Mailing Address: | 73 Colbert Dr, COLUMBUS |
| State: | MS |
| Postal Code: | 397059310 |
| Phone Number: | 6622956131 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2012 |
| NPI Last Update Date: | 04/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |