JENNIFER YAEGER PCMHT
NPI 1144236456
Counselor - Mental Health in Vicksburg, MS
Active since July 31, 2006
About Jennifer Yaeger Pcmht NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER YAEGER PCMHT (NPI 1144236456) is an individual mental health provider in Vicksburg, Mississippi, licensed in Mississippi (1203) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1144236456
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER YAEGERCredential: PCMHT
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331 · (601) 638-0031 · Fax (601) 638-4950
Phone(601) 638-0031
Fax(601) 638-4950
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144236456 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 1203
3444 WISCONSIN AVE, Vicksburg, MS 39180
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144236456, enumerated as an "individual" on July 31, 2006.
The provider is located at 3444 WISCONSIN AVE VICKSBURG, MS 39180 and the phone number is (601) 638-0031.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.