Individual
MR. THOMAS POUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CSAT
Contact information
Practice address
806 W PINE ST, HATTIESBURG, MS 39401-4259
(601) 466-2375
(601) 736-0287
Mailing address
39 BETHANY LN, KOKOMO, MS 39643-4996
(601) 466-2375
(601) 736-0287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1365
MS
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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