Individual
DYLAN WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5081 BEATLINE RD, LONG BEACH, MS 39560-3814
(601) 439-6265
Mailing address
5081 BEATLINE RD, LONG BEACH, MS 39560-3814
(228) 806-7182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2425
MS
101YP2500X
Professional Counselor
Primary
2425
MS
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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