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

Jacquice Gillum

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841133246

Jacquice Gillum is an Addiction (Substance Use Disorder) Counselor in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1841133246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address138 William McKinley Cir, Jackson, MS 39213-3136

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