Debra Braddock - Hattiesburg, MS

Debra Braddock

Counselor in Hattiesburg, Mississippi

NPI 1982332540

Debra Braddock is a Counselor based in Hattiesburg, MS. Debra Braddock practices in Hattiesburg, MS. The NPI Number for Debra Braddock is 1982332540 and holds a License No. 5420 (Mississippi).

The current practice location address for Debra Braddock is 110 Patton Ave, Hattiesburg, MS and can be reached out via phone at 601-582-1111 and via fax at 601-450-0765.

Location: 110 Patton Ave, Hattiesburg, MS, 39404-8679

NPI Number

1982332540

Provider Name

Debra Braddock

Credential

Provider Entity Type

Individual

Gender

Female

Address

110 Patton Ave, Hattiesburg, MS, 39404-8679

Phone Number

601-582-1111

Fax Number

601-450-0765

Provider Enumeration Date

08/11/2022

Last Update Date

03/10/2024

Address

110 Patton Ave

City

Hattiesburg

State

Mississippi

Zip

39401-6155

Phone Number

601-582-1111

Fax Number

601-450-0765

Address

110 Patton Ave

City

Hattiesburg

State

Mississippi

Zip

39401-6155

Phone Number

601-582-1111

Fax Number

601-450-0765

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

5420 (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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