Individual
TIFFANY CASSANDRA LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 ROUX ROAD, NATCHEZ, MS 39120
(601) 891-8100
Mailing address
306 MANSION ST, PORT GIBSON, MS 39150-2220
(601) 702-1409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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