Organization
RANKIN BAPTIST ASSOCIATION
Active
Other names
Rankin Baptist Association DBA Crossroads Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY SANDERFORD PHD (DIRECTOR)
(601) 939-6634
Entity
Organization
Contact information
Practice address
5611 HIGHWAY 80 E, PEARL, MS 39208
(601) 939-6634
(601) 420-9252
Mailing address
5611 HIGHWAY 80 E, PEARL, MS 39208
(601) 939-6634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0323
MS
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
0323
MS
Other
Enumeration date
06/19/2006
Last updated
07/08/2008
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