Organization · Type 2 NPI

Mt. Olive Baptist Church

Counselor · Hattiesburg, MS

NPI number 1992004212 Active

Practice location

1313 Country Club Road
Hattiesburg, MS 39401

Fax (601) 582-0149

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X205814 (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 1992004212

Mt. Olive Baptist Church's National Provider Identifier is 1992004212, issued on Mar 25, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Mar 25, 2011.