Individual
LEAH VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 I 55 N, JACKSON, MS 39211-5930
(601) 405-7440
Mailing address
717 ARLINGTON CT, MADISON, MS 39110-7188
(601) 672-3536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2367
MS
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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