| Jonathan Huff, | |
|
3304 N State St Ste 201c, Jackson, MS 39216-3129 | |
| (601) 942-3102 | |
| (855) 795-3424 |
| Full Name | Jonathan Huff |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3304 N State St Ste 201c, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821308214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2163 (Mississippi) | Primary |
| 101YM0800X | Counselor - Mental Health | 2163 (Mississippi) | Secondary |
| Entity Name | Killebrew Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073988051 PECOS PAC ID: 8426330226 Enrollment ID: O20170130002648 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Huff, 299 Wood Dale Dr, Jackson, MS 39216-3510 Ph: (601) 942-3102 | Jonathan Huff, 3304 N State St Ste 201c, Jackson, MS 39216-3129 Ph: (601) 942-3102 |
Mrs. Denease Inez Bishop, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1855 Lakeland Dr, Suite P101, Jackson, MS 39216 Phone: 601-278-6790 | |
Robert Caleb Cauthen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1513 Lakeland Dr, Jackson, MS 39216 Phone: 769-777-1000 | |
Diane Lois Sanford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 | |
Jamaal Murriel, MS,PCAT, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr, Jackson, MS 39216 Phone: 601-718-2468 | |
Cheryl Marie Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 Edgewood Terrace Dr, Jackson, MS 39206 Phone: 601-487-6344 Fax: 601-398-0289 | |
Mr. Dennis Morgan Hydrick Jr., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1465 Lakeland Dr, Jackson, MS 39216 Phone: 601-573-8548 Fax: 601-968-0021 | |
Sharon L Terry, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005 Fax: 601-815-0434 |