Individual provider · Type 1 NPI

Marilyn Smith, CIDDT

Mental Health Counselor · Ellisville, MS

NPI number 1265156533 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Call (601) 425-3439 Map

Fax (601) 649-7939

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X588 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1265156533

Marilyn Smith, CIDDT's National Provider Identifier is 1265156533, issued on Sep 30, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellisville, MS. The record was last updated on Sep 30, 2022.