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Organization
FOUNDATIONS COUNSELING OF BYRAM, LLC
Active
Organization
FOUNDATIONS COUNSELING OF BYRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER S COTHERN (OWNER)
(601) 613-8098
Entity
Organization
Contact information
Practice address
1108 PONDEROSA DR, TERRY, MS 39170-9416
(601) 613-8098
Mailing address
1108 PONDEROSA DR, TERRY, MS 39170-9416
(601) 613-8098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0570
MS
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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