Provider Demographics
NPI:1003982679
Name:HYDRICK, DENNIS MORGAN JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:MORGAN
Last Name:HYDRICK
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1465 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4719
Mailing Address - Country:US
Mailing Address - Phone:601-573-8548
Mailing Address - Fax:601-968-0021
Practice Address - Street 1:1465 LAKELAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4719
Practice Address - Country:US
Practice Address - Phone:601-573-8548
Practice Address - Fax:601-968-0021
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2013-09-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional