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Jermaine Pruitt, MS

Counselor, Mental Health in Columbus, MS. Individual provider (NPI-1).

NPI number1982174298
StatusActive
Last updated in NPPESNov 29, 2018

Details

NPI
1982174298
Entity type
Individual (NPI-1)
Name
Jermaine Pruitt
Credential
MS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 29, 2018
Last updated
Nov 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1001 Main St
Columbus, MS 39701-4751

Phone 662-328-9225 · Fax 662-328-4735

Mailing address

302 N Jackson St
Starkville, MS 39759-2504

Phone 662-323-9318 · Fax 662-323-5553

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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