Individual
MARK J MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Mailing address
1701 WHITE ST, PO BOX 768, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
M9008
—
1041C0700X
Clinical Social Worker
Primary
C9008
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2015
Last updated
03/30/2021
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