person
Evelyn O Madiebo, CMHT
Mental Health Counselor in Brandon, Mississippi
NPI 1134705288

Evelyn O Madiebo is a Mental Health Counselor based in Brandon, MS and is specialized in Mental Health. Evelyn O Madiebo practices in Brandon, MS and has the professional credentials of CMHT. The NPI Number for Evelyn O Madiebo is 1134705288 and holds a License No. CMHT1639 (Mississippi).

The current practice location address for Evelyn O Madiebo is 613 Marquette Rd, Brandon, MS and can be reached out via phone at 601-825-8800 and via fax at 601-824-0349.

Location: 613 Marquette Rd, Brandon, MS, 39042-3038
person
Provider Profile Details
NPI Number
1134705288
Provider Name
Evelyn O Madiebo
Credential
CMHT
Provider Entity Type
Individual
Gender
Female
Address
613 Marquette Rd, Brandon, MS, 39042-3038
Phone Number
601-825-8800
Fax Number
601-824-0349
Provider Enumeration Date
03/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-825-8800
Fax Number
601-824-0349
person
Provider Business Mailing Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-825-8800
Fax Number
601-824-0349
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CMHT1639 (Mississippi)
Definition
Definition to come...
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