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Organization
GATTO BAY, INC
Active
Organization
GATTO BAY, INC
Active
Other names
Coast Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD OLAIVAR LCSW (DIRECTOR)
(228) 363-2022
Entity
Organization
Contact information
Practice address
127 GARY ST, GULFPORT, MS 39503-3503
(228) 832-0556
(228) 831-4495
Mailing address
PO BOX 3367, GULFPORT, MS 39505-3367
(228) 832-0556
(228) 831-4495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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