person
Mrs. Rebecca Wildes Law, MS,LPC
Mental Health Counselor in Gulfport, Mississippi
NPI 1861414211

Rebecca Wildes Law is a Mental Health Counselor based in Gulfport, MS and is specialized in Mental Health. Rebecca Wildes Law practices in Gulfport, MS and has the professional credentials of MS,LPC. The NPI Number for Rebecca Wildes Law is 1861414211 and holds a License No. 0886 (Mississippi).

The current practice location address for Rebecca Wildes Law is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700. You can also correspond with Rebecca Wildes Law through the mailing address at 1600 BROAD AVE, GULFPORT, MS - 39501-3603 (mailing address contact number: 228-863-1132).

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1861414211
Provider Name
Rebecca Wildes Law
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0886 (Mississippi)
Definition
Definition to come...
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