Jeronica Bunch
Individual provider Active NPI Mental Health Counselor · Vicksburg, MS
NPI 1649942764 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1649942764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1905A Mission 66
Vicksburg, MS 39180-3711 - Phone
- (601) 738-5820
- NPI assigned
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1905A Mission 66
Vicksburg, MS 39180-3711
Mailing address
1905A Mission 66
Vicksburg, MS 39180-3711
Phone (601) 738-5820
Other providers in Vicksburg, MS
- Milisia Arnise Bruce
- Annette Bryant
- Elizabeth Grace Bufkin
- Kori Screws Bufkin
- Tenecia Bullock
- Matthew S Buntyn
- Sandra F. Burford
- Josiefina Golden Burgess
- Kristy Burke-Gullett
- Latasha Burks-Jackson
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 Sep 28, 2021. 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.