MEDICARE: MRS. KATRYNA HIGH TWILBECK M.S., B.S.

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

General Provider Information

NPI Number	:	1043656176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATRYNA HIGH TWILBECK M.S., B.S.

Provider Business Mailing Address
First Line	:	2900 GOVERNMENT ST
Second Line	:	SUITE A
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5647
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 GOVERNMENT ST
Second Line	:	SUITE A
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5647
Country	:	US
Telephone Number	:	228-326-5102
Fax Number	:

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

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	07/08/2016

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