| Resonance Professional Counseling Llc | |
|
4262 Popps Ferry Rd Ste B Diberville MS 39540-2391 | |
| (228) 341-1079 | |
| Not Available |
| Full Name | Resonance Professional Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4262 Popps Ferry Rd Ste B, Diberville, Mississippi |
| Authorized Official Name and Position | Kristine D Wilson (OWNER) |
| Authorized Official Contact | 2283411079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resonance Professional Counseling Llc 15256 Three Rivers Rd Biloxi MS 39532-8066 Ph: (228) 341-1079 | Resonance Professional Counseling Llc 4262 Popps Ferry Rd Ste B Diberville MS 39540-2391 Ph: (228) 341-1079 |
| NPI Number | 1326605601 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 05/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326605601 | NPI | - | NPPES |
| 05278341 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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