Individual
SUSAN VICKERY HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1151 N STATE ST STE 212, JACKSON, MS 39202-2467
(601) 352-7398
Mailing address
107 LAKEVIEW CT, MADISON, MS 39110-7125
(601) 259-8424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
689
MS
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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