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Organization

PENDLETON COUNSELING CENTER

Active
Other names
Pendleton Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDA FAYE PENDLETON (LICENSED CLINICAL SOCIAL WORKER)
(601) 201-4111
Entity
Organization

Contact information

Practice address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 201-4111
(601) 825-1793
Mailing address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 201-4111
(601) 825-1793

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06635891
MS
Enumeration date
10/20/2020
Last updated
10/20/2020
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