Individual
MRS. BONNIE M TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1742 CHERYL ST, CLARKSDALE, MS 38614-7218
(662) 627-7267
(662) 627-5240
Mailing address
PO BOX 331, CLARKSDALE, MS 38614-0331
(662) 627-7267
(662) 627-5240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122270
MS
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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