person
Marilyn Smith, CIDDT
Mental Health Counselor in Ellisville, Mississippi
NPI 1265156533

Marilyn Smith is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Marilyn Smith practices in Ellisville, MS and has the professional credentials of CIDDT. The NPI Number for Marilyn Smith is 1265156533 and holds a License No. 588 (Mississippi).

The current practice location address for Marilyn Smith is 5192 Highway 11 N, Ellisville, MS and can be reached out via phone at 601-425-3439 and via fax at 601-649-7939.

Location: 5192 Highway 11 N, Ellisville, MS, 39404-8679
person
Provider Profile Details
NPI Number
1265156533
Provider Name
Marilyn Smith
Credential
CIDDT
Provider Entity Type
Individual
Gender
Female
Address
5192 Highway 11 N, Ellisville, MS, 39404-8679
Phone Number
601-425-3439
Fax Number
601-649-7939
Provider Enumeration Date
09/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5192 Highway 11 N
City
State
Zip
39437-5050
Phone Number
601-425-3439
Fax Number
601-649-7939
person
Provider Business Mailing Address Details
Address
5192 Highway 11 N
City
State
Zip
39437-5050
Phone Number
601-425-3439
Fax Number
601-649-7939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
588 (Mississippi)
Definition
Definition to come...
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