Doctor Name: | MS. CHARISSA LEIGH JONES |
NPI Number: | 1912140823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 1417 |
Business Practice Address: | 140 Mayfair Rd # 300 Hattiesburg, MS - 394021463 |
Business Phone Number: | 6012717707 |
Business Fax Number: | |
Mailing Address: | Po Box 17545, HATTIESBURG |
State: | MS |
Postal Code: | 394047545 |
Phone Number: | 6012717707 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 04/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |