Michael D Maxey LPC, NCC

NPI 1669672069 - Counselor - 101YP2500X

NPI Details
NPI 1669672069
Gender Male
Enumeration Date 07/23/2007
Last Updated 08/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 BROAD AVE
GULF COAST MENTAL HEALTH CENTER
GULFPORT MS, 39501-3603, US
Phone (228) 594-9010
Fax
Business Location
1600 BROAD AVE
GULF COAST MENTAL HEALTH CENTER
GULFPORT MS, 39501-3603, US
Phone (228) 863-1132
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Mississippi
License Number 0774
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According to our database, Mr. Michael D Maxey LPC, NCC NPI is 1669672069, taxonomy code is 101YP2500X and license number is 0774, license state is located at Mississippi. Michael D Maxey LPC, NCC physically located at 1600 Broad Ave, Gulfport MS, 39501-3603. NPI Number Michael D Maxey LPC, NCC has the Individual type.

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1669672069 NPI number is provided on an as is basis without warranty of any kind. 1669672069 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D Maxey LPC, NCC are for informational purposes only.