Chevonna Milloy-Bass Valid NPI
Individual provider · Counselor · Hattiesburg, MS
- NPI
- 1285807875
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 1051 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-04-04
- Last updated
- 2008-04-04
Practice location
103 S 19th Ave
Hattiesburg, MS 39401-6171
(601) 544-4641