IndividualActive
Jacquice Gillum
NPI 1841133246 · Addiction (Substance Use Disorder) Counselor · Jackson, MS
Provider details
- NPI number
- 1841133246
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Approximate (ZIP-level) locationGet directions
Mailing address
138 William Mckinley Cir
Jackson, MS 39213-3136
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.