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Individual

DR. TONYA HALL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
1905 MISSION 66 STE A, VICKSBURG, MS 39180-3711
(601) 831-3304
Mailing address
30 MILL WOOD CIR, VICKSBURG, MS 39180-1344
(601) 831-3304
(601) 630-9842

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1249
MS
101YP2500X
Professional Counselor
3869
LA
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
T0253
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08574217
MS
Enumeration date
10/22/2012
Last updated
08/10/2025
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