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

Jaquay Jackson, CMHT

Individual provider Mental Health Counselor · NPI 1396307179

Jaquay Jackson, CMHT is a Mental Health Counselor in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019
Specialties on file
2

Practice location Address checks out

119 S 12th Ave
Laurel, MS 39440-4322
Phone: (601) 342-8215
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X (MS)

Record details

NPI number1396307179
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMHT
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019
Mailing address860 E River Pl Ste 100, Jackson, MS 39202-3442

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