Individual provider · Type 1 NPI

Eric Suddeath, MA, LPC

Counselor · Oxford, MS

NPI number 1700302007 Active

Practice location

304 Enterprise Dr
Oxford, MS 38655-2762

Call (662) 371-1711 Map

Mailing address

4005 Davis Dr
Oxford, MS 38655-4279

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2201 (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 1700302007

Eric Suddeath, MA, LPC's National Provider Identifier is 1700302007, issued on Aug 17, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oxford, MS. The record was last updated on Aug 17, 2017.