Individual
GREGORY BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CMHT
Contact information
Practice address
103 WOODRIDGE, PEARL, MS 39208-6055
(601) 327-0160
Mailing address
103 WOODRIDGE, PEARL, MS 39208-6055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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