| Katherine Dalstra, | |
|
43 Dr Martin Luther King Jr Dr, Macon, MS 39341-2734 | |
| (662) 726-5042 | |
| (662) 726-5009 |
| Full Name | Katherine Dalstra |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 43 Dr Martin Luther King Jr Dr, Macon, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619324464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Dalstra, 1032 State Hwy 50 W, West Point, MS 39773 Ph: (662) 524-4347 | Katherine Dalstra, 43 Dr Martin Luther King Jr Dr, Macon, MS 39341-2734 Ph: (662) 726-5042 |
Tyisha Shields, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W Mlk Dr, Macon, MS 39341 Phone: 662-726-5042 Fax: 662-726-5009 | |
Yanci Lavender, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Mlk Dr, Macon, MS 39341 Phone: 662-726-5042 Fax: 662-726-5009 | |
Dianne J Neal, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W King St, Macon, MS 39341 Phone: 662-726-5042 Fax: 662-726-5009 | |
Mary Weatherby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Dr Martin Luther King Jr Dr, Macon, MS 39341 Phone: 662-726-5042 Fax: 662-726-5009 | |
Diane Hairston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 W Martin Luther King Dr, Macon, MS 39741 Phone: 662-726-5042 Fax: 662-726-5009 | |
Katisha Gordon, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Mlk St, Macon, MS 39341 Phone: 662-726-5042 Fax: 662-726-5009 |