Individual
MRS. FARRA O CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
398 E MAIN ST STE 216, TUPELO, MS 38804-4016
(662) 350-0099
Mailing address
116 N COLUMBIA ST, PONTOTOC, MS 38863-2002
(662) 347-6310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0918
MS
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
03/19/2021
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