Magnolia Bloom Counseling, LLC
NPI #1457939985 in Diberville, Mississippi
Provider Information
- NPI Number
- 1457939985
- Entity Type
- Organization
- Organization Name
- Magnolia Bloom Counseling, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 29, 2021
- Last Updated
- Mar 29, 2021
Practice Location
- Address
- 4063 GINGER DR STE D
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-3705
- Phone
- (985) 250-1614
Authorized Official
- Name
- DR. VALERIE JOINER, LCSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (228) 224-0984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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