Organization
REAL LIFE CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDRE COX LPC (PROGRAM DIRECTOR)
(601) 880-3879
Entity
Organization
Contact information
Practice address
6855 U S HIGHWAY 49, HATTIESBURG, MS 39402-7834
(601) 475-1041
Mailing address
6855 U S HIGHWAY 49, HATTIESBURG, MS 39402-7834
(601) 475-1041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1348
MS
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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