Individual
MRS. MARY BERGENS DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2620 EXECUTIVE PL, BILOXI, MS 39531-3717
(228) 385-7744
(228) 385-5165
Mailing address
16109 S APRIL DR, GULFPORT, MS 39503-4181
(985) 774-4076
(228) 385-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T0510
MS
106H00000X
Marriage & Family Therapist
Primary
T0510
MS
171M00000X
Case Manager/Care Coordinator
T0510
MS
251B00000X
Case Management Agency
T0510
MS
Other
Enumeration date
10/08/2018
Last updated
01/12/2025
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