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General NPI Number Information
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NPI Number | 1538422951
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Entity Type | Individual
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Provider Name | JOSHUA RYAN EVERETT PHD, LPCS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 310 N MAGNOLIA ST # 101
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City | LAUREL
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State | MS
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Zip | 39440-3932
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Country | US
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Telephone | 601-265-3100
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Fax | 601-265-3101
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Provider Business Mailing Address
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Address Line | 409 W OAK ST STE 401E
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City | LAUREL
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State | MS
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Zip | 39440-4169
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Country | US
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Telephone | 601-265-3100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1697
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License Number State | MS
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