Organization
SUNNYBROOK CHILDREN'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SPANSEL LPC (PROGRAM DIRECTOR)
(601) 856-6555
Entity
Organization
Contact information
Practice address
222 SUNNYBROOK RD, RIDGELAND, MS 39157-2205
(769) 972-2934
(601) 856-6555
Mailing address
PO BOX 4871, JACKSON, MS 39296-4871
(601) 856-6555
(601) 856-6520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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