Jessica R Cronn, LPC
Individual provider Active NPI Professional Counselor · Clinton, MS
NPI 1508879107 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1508879107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1113 (MS)
- Practice address
- 134 Fairmont St Ste B
Clinton, MS 39056-4739 - Phone
- (601) 397-1554
- NPI assigned
- Aug 14, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1113 | MS | Yes |
Addresses
Primary practice location
134 Fairmont St Ste B
Clinton, MS 39056-4739
Mailing address
134 Fairmont St Ste B
Clinton, MS 39056-4739
Other providers in Clinton, MS
- Kimberly Course
- Jessie M Coy
- Anita Craft
- Creative Sisters Counseling LLC
- Dru Fulton Crenshaw
- Custom Care Pharmacy, LLC
- Custom Prosthetic & Orthotic
- George Cutrer
- David Brock Damon
- Gloria Daniels
All providers in Clinton, MS · Professional 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 Oct 28, 2022. 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.