Individual
MADISON RENE' CAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
920 BOONE ST, TUPELO, MS 38804-5908
(662) 844-3531
(662) 844-1757
Mailing address
920 BOONE ST, TUPELO, MS 38804-5908
(662) 844-3531
(662) 844-1757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
M8774
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
M8774
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018203
—
MS
Enumeration date
10/02/2013
Last updated
05/21/2020
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