Individual
JOHN L LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCMHT
Contact information
Practice address
211 HIGHWAY 11 S, PICAYUNE, MS 39466-4503
(601) 798-7001
(601) 799-4481
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7021
MS
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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