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Individual

HOLLY SMITH RAKESTRAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, NCSC

Contact information

Practice address
813 VARSITY DR STE 5, TUPELO, MS 38801-4694
(662) 840-2005
(662) 840-2107
Mailing address
108 MEGS LN, SALTILLO, MS 38866-7940
(662) 213-4676

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
975
MS

Other

Enumeration date
02/07/2019
Last updated
02/07/2019
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