Individual
MR. JOHN A RASBERRY, JR. JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
602 JEFFERSON ST., TUPELO, MS 38804
(662) 841-0881
Mailing address
602 JEFFERSON ST., TUPELO, MS 38804
(662) 841-0881
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
TO 366
MS
106H00000X
Marriage & Family Therapist
Primary
TO366
MS
Other
Enumeration date
07/22/2008
Last updated
06/08/2011
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