Individual
SUSANNAH BROOKE PELEAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
1450 NORTH ST, GULFPORT, MS 39507-2103
(228) 701-0555
Mailing address
13212 WESTMINSTER BLVD, GULFPORT, MS 39503-4386
(601) 508-2898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-1052
MS
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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