Jim Alfred Deloach - Gautier, MS

Jim Alfred Deloach

Peer Specialist in Gautier, Mississippi

NPI 1205554656

Jim Alfred Deloach is a Peer Specialist based in Gautier, MS. Jim Alfred Deloach practices in Gautier, MS. The NPI Number for Jim Alfred Deloach is 1205554656 and holds a License No. (Mississippi).

The current practice location address for Jim Alfred Deloach is 330B Highway 90, Gautier, MS and can be reached out via phone at 228-497-0434.

Location: 330B Highway 90, Gautier, MS, 39553-5337

NPI Number

1205554656

Provider Name

Jim Alfred Deloach

Credential

Provider Entity Type

Individual

Gender

Male

Address

330B Highway 90, Gautier, MS, 39553-5337

Phone Number

228-497-0434

Fax Number

Provider Enumeration Date

08/19/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
00018214	05	MS

Address

330B Highway 90

City

Gautier

State

Mississippi

Zip

39553-5744

Phone Number

228-497-0434

Fax Number

Address

330B Highway 90

City

Gautier

State

Mississippi

Zip

39553-5744

Phone Number

228-497-0434

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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