MEDICARE: JAMES S STRICKLAND NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	238821	MS

General Provider Information

NPI Number	:	1699907998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES S STRICKLAND NCC

Provider Business Mailing Address
First Line	:	104 EASTHAVEN DR
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042-2825
Country	:	US
Telephone Number	:	601-705-1901
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 EASTHAVEN DR
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042-2825
Country	:	US
Telephone Number	:	601-705-1901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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