Jeanne Marisa Gabriele | Jackson, MS • PECOS Search

Jeanne Marisa Gabriele

Psychologist

Behavioral Health & Social Service Providers

1500 E Woodrow Wilson Ave, Mental Health (11m), Jackson, MS 39216-5116

PECOS Enrollment

Based on the most recent information from CMS, provider Jeanne Marisa Gabriele does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1104134519
Provider Type
Individual
Full Name
Gabriele, Jeanne Marisa
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2010
Last Updated
9/20/2010

Contact Information

Practice Location

1500 E Woodrow Wilson Ave, Mental Health (11m), Jackson, MS 39216-5116

Unlisted Fax

Mailing Location

1500 E Woodrow Wilson Ave, Mental Health (11m), Jackson, MS 39216-5116

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 50864 Mississippi