Individual
TREVOR TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCMHT
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(769) 217-2810
(601) 324-5559
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6426
MS
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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