Carter, Jaqueline Tolleson
Carter, Jaqueline Tolleson is an sole proprietor health care provider with primary practice located at 1045 Church Rd E Ste 2 , Southaven MS 38671-9702. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carter, Jaqueline Tolleson can be contacted via phone (662) 235-9063.Contact Information
Primary practice address
1045 Church Rd E Ste 2
Southaven MS 38671-9702
Phone: (662) 235-9063
Fax: (662) 536-7439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1733 | Mississippi |
Profile Details
| NPI number | 1629321815 |
|---|---|
| LBN Legal business name | Carter, Jaqueline Tolleson |
| Credentials | LPC/MHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Feb 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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