Individual
LYNLEY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6760 U S HIGHWAY 98 STE 1, HATTIESBURG, MS 39402-7679
(601) 402-5137
Mailing address
75 SANDY LN, HATTIESBURG, MS 39402-9240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3367
MS
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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