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Abigail Douglass
Mental Health Counselor in Hattiesburg, Mississippi
NPI 1306587969

Abigail Douglass is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Abigail Douglass practices in Hattiesburg, MS. The NPI Number for Abigail Douglass is 1306587969 and holds a License No. (Mississippi).

The current practice location address for Abigail Douglass is 118 College Dr, Hattiesburg, MS and can be reached out via phone at 601-266-1000.

Location: 118 College Dr, Hattiesburg, MS, 39401-7069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306587969
Provider Name
Abigail Douglass
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 College Dr, Hattiesburg, MS, 39401-7069
Phone Number
601-266-1000
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W251696135 01 LA AETNA
institution
Provider Business Practice Location Address Details
Address
118 College Dr
City
Hattiesburg
State
Mississippi
Zip
39406-0002
Phone Number
601-266-1000
Fax Number
person
Provider Business Mailing Address Details
Address
118 College Dr
City
Hattiesburg
State
Mississippi
Zip
39406-0002
Phone Number
601-266-1000
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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