Individual provider · Type 1 NPI

James W. Fendalson, M.DIV, CPT, L.C.M.H.T.

Mental Health Counselor · Gulfport, MS

NPI number 1922012012 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Fax (228) 865-1700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

200 other providers at this address

Other mental health counselor providers in Gulfport

See all in Gulfport →

About NPI 1922012012

James W. Fendalson, M.DIV, CPT, L.C.M.H.T.'s National Provider Identifier is 1922012012, issued on Jul 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.