Whalio Doctors

NPI 1043431752

Susan Young Jentoft, MSLPCNCC

Practitioner Professional Counselor Meridian, MS

Practice location

Address
5410 Windsor Rd, Meridian, MS 39305-9680
Phone
(601) 479-2345
Fax
(205) 459-2629

Registered specialties (2)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 1456 (MS)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2000 (AL)

Registry record

NPI
1043431752
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 May 2007
Record last updated
12 Feb 2025

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.