NPI 1003393265

Diane Lois Sanford

Practitioner Counselor Jackson, MS

Practice location

Address: 860 E River Pl STE 100, Jackson, MS 39202-3442
Phone: (769) 251-5550

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1003393265
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2018
Record last updated: 20 Jul 2018

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.