person
Mr. David S. Tadlock, MAEDUCATION;BS
Mental Health Counselor in Gautier, Mississippi
NPI 1477831675

David S. Tadlock is a Mental Health Counselor based in Gautier, MS and is specialized in Mental Health. David S. Tadlock practices in Gautier, MS and has the professional credentials of MAEDUCATION;BS. The NPI Number for David S. Tadlock is 1477831675 and holds a License No. (Mississippi).

The current practice location address for David S. Tadlock is 3407 Shamrock Ct, Gautier, MS and can be reached out via phone at 228-497-0690 and via fax at 228-497-1363.

Location: 3407 Shamrock Ct, Gautier, MS, 39553-6429
person
Provider Profile Details
NPI Number
1477831675
Provider Name
David S. Tadlock
Credential
MAEDUCATION;BS
Provider Entity Type
Individual
Gender
Male
Address
3407 Shamrock Ct, Gautier, MS, 39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
Provider Enumeration Date
07/22/2011
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
State
Zip
39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
person
Provider Business Mailing Address Details
Address
3407 Shamrock Ct
City
State
Zip
39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
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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