Justin Defee, LPC, NCC | |
203 S 40th Ave Ste B, Hattiesburg, MS 39402-1604 | |
(601) 336-9085 | |
Not Available |
Full Name | Justin Defee |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 203 S 40th Ave Ste B, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396176301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 1794 (Mississippi) | Primary |
Entity Name | Forrest County General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Mailing Address | Practice Location Address |
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Justin Defee, LPC, NCC 8876 Gulf Fwy, Houston, TX 77017-6513 Ph: (713) 807-1500 | Justin Defee, LPC, NCC 203 S 40th Ave Ste B, Hattiesburg, MS 39402-1604 Ph: (601) 336-9085 |
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 |