Individual
KRYSTAL MASSEY DRAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 MEDICAL PARK, HATTIESBURG, MS 39401
(601) 261-5159
(601) 545-1740
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-5159
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C3794
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126968
—
MS
01
—
6060388
HEALTHSPRING
MS
Enumeration date
06/10/2010
Last updated
07/21/2020
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