| Ann-opal Counseling & Consulting, Inc. | |
|
1507 Hardy St Suite 104 Hattiesburg MS 39401-4978 | |
| (601) 336-6847 | |
| (601) 510-9403 |
| Full Name | Ann-opal Counseling & Consulting, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1507 Hardy St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Shira Peterson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6013366847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann-opal Counseling & Consulting, Inc. 1507 Hardy St Suite 104 Hattiesburg MS 39401-4978 Ph: () - | Ann-opal Counseling & Consulting, Inc. 1507 Hardy St Suite 104 Hattiesburg MS 39401-4978 Ph: (601) 336-6847 |
| NPI Number | 1023361888 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023361888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1542 (Mississippi) | Primary |
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