NPI 1003232786
Jodi Leighann Carlisle, MSCOUNSELINGPSYCHO
Practice location
- Address
- 3407 Shamrock CT, Gautier, MS 39553-5337
- Phone
- (228) 497-0690
- Fax
- (228) 497-1363
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003232786
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Mar 2014
- Record last updated
- 5 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.