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NPI Code Detail

MEDICARE: MS. TARYN D. MCDONALD MSW

MEDICARE: MS. TARYN D. MCDONALD MSW
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
1101YM0800XMental Health CounselorMS

General Provider Information

NPI Number : 1336039676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARYN D. MCDONALD MSW
Provider Business Mailing Address
First Line : 5425 CLINTON BLVD APT SK5
Second Line :
City : JACKSON
State : MS
Zip : 39209-3046
Country : US
Telephone Number : 769-220-2465
Fax Number :
Provider Business Practice Location Address
First Line : 407 BRIARWOOD DR STE 209
Second Line :
City : JACKSON
State : MS
Zip : 39206-3036
Country : US
Telephone Number : 601-957-7670
Fax Number : 601-957-7640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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