person
Tracey Michelle Mark-boston, LCSW
Mental Health Counselor in Picayune, Mississippi
NPI 1134164254

Tracey Michelle Mark-boston is a Mental Health Counselor based in Picayune, MS and is specialized in Mental Health. Tracey Michelle Mark-boston practices in Picayune, MS and has the professional credentials of LCSW. The NPI Number for Tracey Michelle Mark-boston is 1134164254 and holds a License No. C3690 (Mississippi).

The current practice location address for Tracey Michelle Mark-boston is 703 W Canal St, Picayune, MS and can be reached out via phone at 601-749-9477.

Location: 703 W Canal St, Picayune, MS, 39466-3066
person
Provider Profile Details
NPI Number
1134164254
Provider Name
Tracey Michelle Mark-boston
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
703 W Canal St, Picayune, MS, 39466-3066
Phone Number
601-749-9477
Fax Number
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
703 W Canal St
City
State
Zip
39466-3918
Phone Number
601-749-9477
Fax Number
person
Provider Business Mailing Address Details
Address
703 W Canal St
City
State
Zip
39466-3918
Phone Number
601-749-9477
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3690 (Mississippi)
Definition
Definition to come...
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