Individual
MR. ERWIN GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
14080 FOX HILL DR, GULFPORT, MS 39503-5389
(228) 343-3224
Mailing address
14080 FOX HILL DR, GULFPORT, MS 39503-5389
(228) 343-3224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1712
MS
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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