IndividualActive
Angela Jackson
NPI 1629962303 · Mental Health Counselor · Greenwood, MS
Provider details
- NPI number
- 1629962303
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2504 Browning Road 520
Greenwood, MS 38930-6022
Phone: (662) 335-5274
Approximate (ZIP-level) locationGet directions
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.