Individual
MARY CATHERINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-MHSP
Contact information
Practice address
52 TIMBER CREEK DR STE 203, CORDOVA, TN 38018-4388
(662) 536-6210
Mailing address
7467 SWINNEA RD, SOUTHAVEN, MS 38671-6009
(662) 536-6210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4499
TN
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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