| Jessica Roberts, Pllc | |
|
354 N Broadway St Tupelo MS 38804-3926 | |
| (662) 321-8028 | |
| Not Available |
| Full Name | Jessica Roberts, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 354 N Broadway St, Tupelo, Mississippi |
| Authorized Official Name and Position | Jessica Roberts (OWNER) |
| Authorized Official Contact | 6623218028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Roberts, Pllc 117 Willow Oak Ct Tupelo MS 38801-4534 Ph: (662) 321-8028 | Jessica Roberts, Pllc 354 N Broadway St Tupelo MS 38804-3926 Ph: (662) 321-8028 |
| NPI Number | 1477173516 |
|---|---|
| Provider Enumeration Date | 04/18/2020 |
| Last Update Date | 04/18/2020 |
| Certification Date | 04/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477173516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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