| Randy S Kirksey Marriage And Family Therapist | |
|
912 Convent Ave Pascagoula MS 39567-4334 | |
| (228) 990-3701 | |
| Not Available |
| Full Name | Randy S Kirksey Marriage And Family Therapist |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 912 Convent Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Randy Kirksey (OWNER) |
| Authorized Official Contact | 2289903701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy S Kirksey Marriage And Family Therapist 1017 Farnsworth Ave Pascagoula MS 39567-7208 Ph: (228) 990-3701 | Randy S Kirksey Marriage And Family Therapist 912 Convent Ave Pascagoula MS 39567-4334 Ph: (228) 990-3701 |
| NPI Number | 1780449132 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780449132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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