Provider Demographics
NPI:1801998471
Name:DABIT, JEAN S (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:S
Last Name:DABIT
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NORTHTOWN DR
Mailing Address - Street 2:SUITE 205B
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-3699
Mailing Address - Country:US
Mailing Address - Phone:601-977-0660
Mailing Address - Fax:601-977-9188
Practice Address - Street 1:11 NORTHTOWN DR
Practice Address - Street 2:SUITE 205B
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-3699
Practice Address - Country:US
Practice Address - Phone:601-977-0660
Practice Address - Fax:601-977-9188
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health