Organization
PROFESSIONAL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH WILSON LPC (MANAGER)
(901) 871-9062
Entity
Organization
Contact information
Practice address
190 W SOUTH ST, HERNANDO, MS 38632-2245
(901) 871-9062
Mailing address
1737 SANDPIPER CV S, HERNANDO, MS 38632-1631
(901) 871-9062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0837
MS
251S00000X
Community/Behavioral Health Agency
P0510066
AR
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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