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Individual

MR. MARIO NOCENTELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
860 E RIVER PL, JACKSON, MS 39202-3442
(769) 251-5550
Mailing address
711 LAKE HARBOUR DR APT 1072, RIDGELAND, MS 39157-4307
(769) 247-9711

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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