Individual provider · Type 1 NPI
Kirby Renae Pough, LSW, MSACE
Addiction (Substance Use Disorder) Counselor · Meridian, MS
NPI number
1902398290
Active
Practice location
2419 10th St
Meridian, MS 39301-5040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Meridian
About NPI 1902398290
Kirby Renae Pough, LSW, MSACE's National Provider Identifier is 1902398290, issued on Jun 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Meridian, MS. The record was last updated on Jun 1, 2018.