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General NPI Number Information
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NPI Number | 1760072631
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Entity Type | Organization
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Legal Business Name | P&P COUNSELING SERVICES MERIDIAN BRANCH
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 3216 37TH CT
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City | MERIDIAN
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State | MS
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Zip | 39305-3639
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Country | US
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Telephone | 601-480-5402
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Fax | 601-453-2348
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Provider Business Mailing Address
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Address Line | 3216 37TH CT
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City | MERIDIAN
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State | MS
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Zip | 39305-3639
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Country | US
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Telephone | 601-480-5402
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Fax | 601-453-2348
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. MARY ZETTLER
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Credential | LPC
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Telephone | 601-480-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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