Individual
BRE'ANNA WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WOODSTONE PLZ, HATTIESBURG, MS 39402-8342
(769) 390-7234
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
(769) 251-5550
(769) 251-5590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MS
106S00000X
Behavior Technician
Primary
21-189522
TX
Other
Enumeration date
10/20/2021
Last updated
10/22/2025
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