Tracey Michelle Mark-Boston in Picayune - Mental Health
Tracey Michelle Mark-Boston - NPI 1134164254
Tracey Michelle Mark-Boston is a Mental Health in Picayune, Mississippi. Tracey Michelle Mark-Boston practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tracey Michelle Mark-Boston is 1134164254. The last update date is 2009-02-06.
Tracey Michelle Mark-Boston's current location address is 703 W Canal St, Picayune, Mississippi. You can contact this provider via phone number 6017499477. The mailing address for Tracey Michelle Mark-Boston is 703 W Canal St, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Michelle Mark-Boston |
|---|---|
| Address | 703 W Canal St, Picayune, Mississippi |
| Phone Number | 6017499477 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134164254 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2009-02-06 |
Provider Mailing Address Detail
| Address | 703 W Canal St |
|---|---|
| City | Picayune |
| State | Mississippi (MS) |
| Post Code | 394663918 |
| Phone Number | 6017499477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C3690 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
Could you share the physical location details of Tracey Michelle Mark-Boston?
The Tracey Michelle Mark-Boston is situated at 703 W Canal St, in the city of Picayune, state of MS, with the zip code 394663918.
Could you please share the complete physical address where Tracey Michelle Mark-Boston is geographically located?
The Tracey Michelle Mark-Boston is physically situated at the following location: 703 W Canal St, Picayune, MS, 394663918.
When did Tracey Michelle Mark-Boston receive its 1134164254 assignment?
The Tracey Michelle Mark-Boston was assigned its 1134164254 on 2006-06-20, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134164254 to Tracey Michelle Mark-Boston?
The Centers for Medicare & Medicaid Services originally issued the 1134164254 to Tracey Michelle Mark-Boston on 2006-06-20.
When was the information regarding Tracey Michelle Mark-Boston, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracey Michelle Mark-Boston, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-06.
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