Organization
RANKIN BAPTIST ASSOCIATION
Active
Parent organization
RANKIN BAPTIST ASSOCIATION
Other names
Crossroads Counseling Center Ridgeland
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANKIN BAPTIST ASSOCIATION
Authorized official
DR. PERRY SANDERFORD PH.D. (DIRECTOR)
(601) 939-6634
Entity
Organization
Contact information
Practice address
5611 HIGHWAY 80 E., PEARL, MS 39208
(601) 939-6634
(601) 420-9252
Mailing address
PO BOX 413, BRANDON, MS 39043-0413
(601) 939-6634
(601) 420-9252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
373
MS
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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