Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Jackson, PCNHT

Individual provider Mental Health Counselor · NPI 1366209264

Audrey Jackson, PCNHT is a Mental Health Counselor in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

1721 W 10th St
Laurel, MS 39440-2540
Phone: (601) 425-9322
Fax: (601) 425-3231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5805 (MS)

Record details

NPI number1366209264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCNHT
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 18679, Hattiesburg, MS 39404-8679

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