Jerri Adams, LMSW
Individual provider Active NPI Mental Health Counselor · Vicksburg, MS
NPI 1164521910 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164521910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- M5782 (MS)
- Practice address
- 3444 Wisconsin Ave
Vicksburg, MS 39180-5331 - Phone
- (601) 638-0031
- Fax
- (601) 638-4950
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5782 | MS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M5782 | MS | Yes |
Addresses
Primary practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Mailing address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone (601) 638-0031
Other providers in Vicksburg, MS
- Ablehands Homecare LLC
- George Abraham
- Michael Abraham
- Robert M Abraham
- Billy Wayne Adams Sr.
- Anna Adcock
- Trisha Addison
- Dion Adkins
- Sherrunda Adkins
- Sheree Ahlvin
All providers in Vicksburg, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.