Individual provider · Type 1 NPI

Gina Thorderson

Mental Health Counselor · Tupelo, MS

NPI number 1497339519 Active

Practice location

1085 S Thomas St
Tupelo, MS 38801-3880

Call (662) 791-9026 Map

Mailing address

2852 Orchid Ln
Tupelo, MS 38801-8224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XM9431 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1497339519

Gina Thorderson's National Provider Identifier is 1497339519, issued on May 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on May 6, 2021.