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Mr. Joe Lynn Washburn, MA
Mental Health Counselor in Gautier, Mississippi
NPI 1205050093

Joe Lynn Washburn is a Mental Health Counselor based in Gautier, MS and is specialized in Mental Health. Joe Lynn Washburn practices in Gautier, MS and has the professional credentials of MA. The NPI Number for Joe Lynn Washburn is 1205050093 and holds a License No. (Mississippi).

The current practice location address for Joe Lynn Washburn is 3407 Shamrock Ct, Gautier, MS and can be reached out via phone at 228-497-0670.

Location: 3407 Shamrock Ct, Gautier, MS, 39553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205050093
Provider Name
Joe Lynn Washburn
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3407 Shamrock Ct, Gautier, MS, 39553
Phone Number
228-497-0670
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
3407 Shamrock Ct
City
Gautier
State
Mississippi
Zip
39553
Phone Number
228-497-0670
Fax Number
person
Provider Business Mailing Address Details
Address
3407 Shamrock Ct
City
Gautier
State
Mississippi
Zip
39553
Phone Number
228-497-0670
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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