Individual
MR. CASEY DODD BEARSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1520 29TH AVE STE 25, GULFPORT, MS 39501-2843
(228) 382-3138
Mailing address
1520 29TH AVE STE 25, GULFPORT, MS 39501-2843
(228) 382-3138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2229
MS
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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