Organization
COGNITIVE DEVELOPMENT CENTER OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN J FISHER LPC (DIRECTOR)
(318) 340-1535
Entity
Organization
Contact information
Practice address
1713 CLAY ST, VICKSBURG, MS 39183-3048
(601) 883-1771
(601) 883-1773
Mailing address
1713 CLAY ST, VICKSBURG, MS 39183-3048
(601) 883-1771
(601) 883-1773
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
11/21/2013
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