Individual ProviderPortia JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address1701 White St, Mccomb, MS 39648-2711(601) 249-4214PECOS EnrollmentBased on the most recent information from CMS, provider Portia Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1811570054Provider TypeIndividualFull NameJackson, PortiaGenderFemaleSole ProprietorNoEnumeration Date5/5/2021Last Updated5/5/2021Contact InformationPractice LocationPractice Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4214Fax(601) 249-4234Mailing LocationMailing Address1701 White St, Mccomb, MS 39648-2711Phone(601) 249-4214Fax(601) 249-4234Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer