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Organization
ARMSTRONG COUNSELING & INTENSIVE OUTPATIENT SERVICES
Active
Organization
ARMSTRONG COUNSELING & INTENSIVE OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYSETA WARNER-ARMSTRONG LPC (PROVIDER)
(662) 470-6485
Entity
Organization
Contact information
Practice address
970 SWINNEA RDG STE 1, SOUTHAVEN, MS 38671-6037
(662) 470-6485
Mailing address
7160 ARCASTLE LOOP E, SOUTHAVEN, MS 38671-9024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1007
MS
1041C0700X
Clinical Social Worker
C5871
MS
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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