Individual provider · Type 1 NPI

Mary L. Bozeman, CMHT

Mental Health Counselor · Vicksburg, MS

NPI number 1457589780 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Call (601) 638-0031 Map

Mailing address

11220 Road 723
Union, MS 39365-3456

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCH5469 (MS)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457589780

Mary L. Bozeman, CMHT's National Provider Identifier is 1457589780, issued on Jun 25, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 5, 2024.