| Watershed Counseling Associates, Pllc | |
|
1635 Lelia Dr Ste 203 Jackson MS 39216-4874 | |
| (601) 362-7020 | |
| Not Available |
| Full Name | Watershed Counseling Associates, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1635 Lelia Dr Ste 203, Jackson, Mississippi |
| Authorized Official Name and Position | Russell Schulte (CO OWNER, LPC) |
| Authorized Official Contact | 6018424385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watershed Counseling Associates, Pllc 1635 Lelia Dr Ste 203 Jackson MS 39216-4874 Ph: (601) 362-7020 | Watershed Counseling Associates, Pllc 1635 Lelia Dr Ste 203 Jackson MS 39216-4874 Ph: (601) 362-7020 |
| NPI Number | 1407284235 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407284235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1207 (Mississippi) | Primary |
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