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NPI Code Detail

MEDICARE: JAMIE HIMES LPC

MEDICARE:   JAMIE  HIMES  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP0605026AR

General Provider Information

NPI Number : 1093943888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE HIMES LPC
Provider Business Mailing Address
First Line : 200 S PARK DR
Second Line :
City : JACKSON
State : MS
Zip : 39211-4273
Country : US
Telephone Number : 601-354-0983
Fax Number :
Provider Business Practice Location Address
First Line : 860 E RIVER PL STE 104
Second Line :
City : JACKSON
State : MS
Zip : 39202-3442
Country : US
Telephone Number : 601-594-3931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 06/03/2020

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Directions to “ JAMIE HIMES LPC” Practice Location

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