person
Richard Sheridan
Mental Health Counselor in Hattiesburg, Mississippi
NPI 1790414001

Richard Sheridan is a Mental Health Counselor based in Petal, MS and is specialized in Mental Health. Richard Sheridan practices in Hattiesburg, MS. The NPI Number for Richard Sheridan is 1790414001 and holds a License No. 1555 (Mississippi).

The current practice location address for Richard Sheridan is 615 W Pine St, Hattiesburg, MS and can be reached out via phone at 601-336-9131. You can also correspond with Richard Sheridan through the mailing address at 2 DOGWOOD CIR, PETAL, MS - 39465-4142 (mailing address contact number: ).

Location: 615 W Pine St, Hattiesburg, MS, 39465-4142
person
Provider Profile Details
NPI Number
1790414001
Provider Name
Richard Sheridan
Credential
Provider Entity Type
Individual
Gender
Male
Address
615 W Pine St, Hattiesburg, MS, 39465-4142
Phone Number
601-336-9131
Fax Number
Provider Enumeration Date
06/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 W Pine St
City
State
Zip
39401-3835
Phone Number
601-336-9131
Fax Number
person
Provider Business Mailing Address Details
Address
615 W Pine St
City
State
Zip
39401-3835
Phone Number
601-336-9131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1555 (Mississippi)
Definition
Definition to come...
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