Individual
MR. SAMUEL EDDIE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
22 WESTVIEW DRIVE, COLLINS, MS 39428
(601) 765-4514
(601) 584-4053
Mailing address
PO BOX 1364, COLLINS, MS 39428-1364
(601) 765-4514
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0167
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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