person
Thaedeus Holston
Mental Health Counselor in Brandon, Mississippi
NPI 1386220697

Thaedeus Holston is a Mental Health Counselor based in Brandon, MS and is specialized in Mental Health. Thaedeus Holston practices in Brandon, MS. The NPI Number for Thaedeus Holston is 1386220697 and holds a License No. (Mississippi).

The current practice location address for Thaedeus Holston is 613 Marquette Rd, Brandon, MS and can be reached out via phone at 601-824-0342.

Location: 613 Marquette Rd, Brandon, MS, 39042-3038
person
Provider Profile Details
NPI Number
1386220697
Provider Name
Thaedeus Holston
Credential
Provider Entity Type
Individual
Gender
Female
Address
613 Marquette Rd, Brandon, MS, 39042-3038
Phone Number
601-824-0342
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-824-0342
Fax Number
person
Provider Business Mailing Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-824-0342
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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