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Organization
REGION VII MH MR COMMISSION
Active
Organization
REGION VII MH MR COMMISSION
Active
Other names
COMMUNITY COUNSELING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAKER (COO)
(662) 323-9261
Entity
Organization
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014071
—
MS
Enumeration date
06/24/2008
Last updated
06/24/2008
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