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Provider Information for 1013530427


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ANNA KATHLEEN OGLESBY LPC


Other Names:  
Former Name: 
ANNA KATHLEEN SISSON

Sex: Female

NPI: 1013530427
Last Updated: 2020-05-20
Certification Date: 2020-05-20

Details

NameValue
NPI1013530427
Enumeration Date2020-05-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 10 HIGHPOINTE DR
HATTIESBURG, MS 39402-8248
United States

Phone: 817-999-2624 | Fax:
 
Primary Practice Address 10 HIGHPOINTE DR
HATTIESBURG, MS 39402-8248
United States

Phone: 817-999-2624 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMS2454