Individual provider · Type 1 NPI

Kertrina Beverly, CCSS

Counselor · Hattiesburg, MS

NPI number 1578087748 Active

Practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1651 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1578087748

Kertrina Beverly, CCSS's National Provider Identifier is 1578087748, issued on Jul 31, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 31, 2017.