Gulf Coast Psychotherapy

NPI 1417147398 - Counselor - 101YM0800X

NPI Details
NPI 1417147398
Enumeration Date 07/27/2007
Last Updated 07/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEAN R JEAN
Position OWNER
Phone (228) 832-2400
Fax (228) 832-2431
Practice Location
12231A ASHLEY DR
GULFPORT MS, 39503-2775, US
Phone (228) 832-2400
Fax (228) 832-2431
Business Location
12231A ASHLEY DR
GULFPORT MS, 39503-2775, US
Phone (228) 832-2400
Fax (228) 832-2431
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Gulf Coast Psychotherapy NPI is 1417147398, taxonomy code is 101YM0800X Gulf Coast Psychotherapy physically located at 12231a Ashley Dr, Gulfport MS, 39503-2775. NPI Number 1033115704 has the healthcare provider type.

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1417147398 NPI number is provided on an as is basis without warranty of any kind. 1417147398 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf Coast Psychotherapy are for informational purposes only.