Reardon, Mary

Reardon, Mary is an individual health care provider with primary practice located at 1000 Kiln Delisle Rd Unit D , Pass Christian MS 39571-9701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Reardon, Mary can be contacted via phone (228) 460-3242.

Contact Information

Primary practice address
1000 Kiln Delisle Rd Unit D Pass Christian MS 39571-9701
Phone: (228) 460-3242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2082 Mississippi

Profile Details

NPI number 1073964219
LBN Legal business name Reardon, Mary
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Feb 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073964219 NPPES
Mississippi MEDICAID 005383056

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