NPI 1013283357

Amy Ricedorf, NCC

Practitioner Mental Health Counselor Hattiesburg, MS

Practice location

Address: 4507 U S Highway 49, Hattiesburg, MS 39401-9012
Phone: (601) 545-2925
Fax: (601) 545-2926
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 255326 (MS)

Other Counselor providers in Mississippi →

Registry record

NPI: 1013283357
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.