Organization
M & M BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELECIA MODICUE LPC (CEO)
(318) 680-8414
Entity
Organization
Contact information
Practice address
1911 MISSION 66 STE G, VICKSBURG, MS 39180-3762
(318) 680-8414
Mailing address
1911 MISSION 66 STE G, VICKSBURG, MS 39180-3762
(318) 680-8414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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