Individual provider · Type 1 NPI

Vicki L. Revell-Smith, MS, LPC

Mental Health Counselor · Gulfport, MS

NPI number 1194742296 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Call (228) 863-1132 Map

Fax (228) 865-1700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X723 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1194742296

Vicki L. Revell-Smith, MS, LPC's National Provider Identifier is 1194742296, issued on Jul 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.