person
Boston Bailey, PCCSS
Counselor in Hattiesburg, Mississippi
NPI 1629843453

Boston Bailey is a Counselor based in Hattiesburg, MS. Boston Bailey practices in Hattiesburg, MS and has the professional credentials of PCCSS. The NPI Number for Boston Bailey is 1629843453 and holds a License No. 4000 (Mississippi).

The current practice location address for Boston Bailey is 103 S 19Th Ave, Hattiesburg, MS and can be reached out via phone at 601-544-4641 and via fax at 601-582-1907.

Location: 103 S 19Th Ave, Hattiesburg, MS, 39404-8679
person
Provider Profile Details
NPI Number
1629843453
Provider Name
Boston Bailey
Credential
PCCSS
Provider Entity Type
Individual
Gender
Male
Address
103 S 19Th Ave, Hattiesburg, MS, 39404-8679
Phone Number
601-544-4641
Fax Number
601-582-1907
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 S 19Th Ave
City
State
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-582-1907
person
Provider Business Mailing Address Details
Address
103 S 19Th Ave
City
State
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-582-1907
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
4000 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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