Ben F Toole, LPC/JUNGIAN ANALYST

Individual provider Active NPI Professional Counselor · Water Valley, MS

NPI 1770713893 · NPPES record last updated Jul 20, 2018

Key facts

NPI
1770713893
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1179 (MS)
Practice address
1285 County Road 151
Water Valley, MS 38965
Phone
(662) 832-2424
Fax
(662) 473-3725
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1179MSMDProfessional Counselor
427ZZMDPsychoanalyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 427 ZZ
Professional Counselor 101YP2500X 1179 MS Yes

Addresses

Primary practice location

1285 County Road 151
Water Valley, MS 38965

Mailing address

1285 County Road 151
Water Valley, MS 38965-5250
Phone (662) 832-2424

Other practice location 1

299 S 9th St
Oxford, MS 38655-3918
Phone (662) 832-2424

Other providers in Water Valley, MS

All providers in Water Valley, MS · Professional Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.