Organization
REGION VII MH MR COMMISSION
Active
Other names
COMMUNITY COUNSELING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAKER (COO)
(662) 323-9261
Entity
Organization
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014071
—
MS
Enumeration date
06/24/2008
Last updated
06/24/2008
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