Organization
MISSISSIPPI COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESIA RATLIFF LCSW (CONSULTANT)
(601) 988-5112
Entity
Organization
Contact information
Practice address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(769) 524-4605
(769) 524-4610
Mailing address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(769) 524-4605
(769) 524-4610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5907
MS
Other
Enumeration date
02/25/2013
Last updated
02/27/2013
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