Individual provider · Type 1 NPI
De'andrea Latrice Eason
Mental Health Counselor · Cleveland, MS
NPI number
1396250106
Active
Practice location
2504 Browning Road
Cleveland, MS 38732
Fax (662) 907-0621
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3877 (MS) |
Mental Health Counselor: Definition to come...
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About NPI 1396250106
De'andrea Latrice Eason's National Provider Identifier is 1396250106, issued on Dec 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, MS. The record was last updated on Dec 4, 2017.