Individual
MRS. OLGA SOFIA BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(601) 352-7784
Mailing address
PO BOX 1078, JACKSON, MS 39215-1078
(601) 352-7784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1673
MS
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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