Individual
MYRA LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1991 LAKELAND DR STE E, JACKSON, MS 39216-5000
(601) 613-1980
Mailing address
45 LOTT CIR, SEMINARY, MS 39479-4262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2565
MS
Other
Enumeration date
12/17/2020
Last updated
09/26/2022
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