person
Grady Richard Corbin, LPC
Professional Counselor in Gulfport, Mississippi
NPI 1770226573

Grady Richard Corbin is a Professional Counselor based in Gulfport, MS and is specialized in Professional. Grady Richard Corbin practices in Gulfport, MS and has the professional credentials of LPC. The NPI Number for Grady Richard Corbin is 1770226573 and holds a License No. 222 (Mississippi).

The current practice location address for Grady Richard Corbin is 2224 25Th Ave, Gulfport, MS and can be reached out via phone at 479-244-0495. You can also correspond with Grady Richard Corbin through the mailing address at 2501 GULF AVE APT 29, GULFPORT, MS - 39501-3436 (mailing address contact number: ).

Location: 2224 25Th Ave, Gulfport, MS, 39501-3436
person
Provider Profile Details
NPI Number
1770226573
Provider Name
Grady Richard Corbin
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2224 25Th Ave, Gulfport, MS, 39501-3436
Phone Number
479-244-0495
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2224 25Th Ave
City
State
Zip
39501-4520
Phone Number
479-244-0495
Fax Number
person
Provider Business Mailing Address Details
Address
2224 25Th Ave
City
State
Zip
39501-4520
Phone Number
479-244-0495
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
222 (Mississippi)
Definition
Definition to come...
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