Individual
BLYTHE B MCCANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 MEDICAL PARK STE B, HATTIESBURG, MS 39401-9080
(601) 261-1650
(601) 545-1740
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
(601) 545-1740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1307
MS
101YP2500X
Professional Counselor
1586
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307
LPC
MS
01
—
1586
LPC
LA
Enumeration date
08/16/2010
Last updated
09/12/2025
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