Thaedeus Holston
Thaedeus Holston is a Mental Health Counselor in Brandon, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
613 Marquette RdBrandon, MS 39042-3038
Phone: (601) 824-0342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1386220697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2021 |
| Last updated in NPPES | March 18, 2021 |
| Certification date | March 18, 2021 |
| Mailing address | 613 Marquette Rd, Brandon, MS 39042-3038 |
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