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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Counselor · BROOKHAVEN, MS

Registration Details

NPI Number
1265040992
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2020 (5.7547435916461 yrs)
Last Updated
Jul 20, 2020

Practice Information

Address
1377 JOHNNY JOHNSON DR
BROOKHAVEN, MS, 396019641
Browse MS providers · Browse ZIP 39601
Phone
6019902398
Fax
6019902232
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in BROOKHAVEN, MS

Name Credential NPI
THOMAS RICHARD MICHAEL BALKCOM LPC 1457570939
KATRESSIA ANTWANETTE WILSON 1831713882
EARLISA THOMPSON 1477150126
KRISTINA WALLACE MASON 1689250896
DARLENE MOORE 1689344723
JACQUELINE MICHELLE THOMAS 1316644016
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.