| Icerica Gardner, | |
|
110 Patton Ave, Hattiesburg, MS 39401-6155 | |
| (601) 582-1111 | |
| (601) 450-0765 |
| Full Name | Icerica Gardner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 110 Patton Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295460509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4967 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Icerica Gardner, Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Icerica Gardner, 110 Patton Ave, Hattiesburg, MS 39401-6155 Ph: (601) 582-1111 |
Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296 | |
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234 | |
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926 | |
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796 | |
Anna Kathleen Oglesby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Highpointe Dr, Hattiesburg, MS 39402 Phone: 817-999-2624 |