Organization
CENTRAL MS COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCOY (DIRECTOR)
(601) 214-1497
Entity
Organization
Contact information
Practice address
5846 RIDGEWOOD RD STE D108, JACKSON, MS 39211-2646
(601) 957-7497
(601) 957-9323
Mailing address
PO BOX 11886, JACKSON, MS 39283-1886
(601) 957-7497
(601) 957-9323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C2868
MS
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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