Individual
MR. QUINTA SANTREZ ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CMHT
Contact information
Practice address
3452 PASCAGOULA ST STE 3, PASCAGOULA, MS 39567-3203
(228) 712-8024
(228) 712-8027
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
08/18/2020
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