Individual
MARIA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4641
Mailing address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4516
MS
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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