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Contact Information

SUPPORTIVE CONNECTIONS COMMUNITY SERVICES
4780 155 N
STE 116 202048
JACKSON, MS39211
 Phone: 619-722-8148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for SUPPORTIVE CONNECTIONS COMMUNITY SERVICES · (Female)

NPI # 1720804354
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2024
Last updated 11/27/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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