Individual
BEVELYNNE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
795 WOODLANDS PKWY STE 200, RIDGELAND, MS 39157-5217
(601) 957-1575
Mailing address
1501 HIGHWAY 80 E APT O7, CLINTON, MS 39056-5363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1901
MS
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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