Individual
MR. JERRY LOVORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC.
Contact information
Practice address
203 TABBY DR, PHILADELPHIA, MS 39350-9787
(601) 562-9126
Mailing address
203 TABBY DR, PHILADELPHIA, MS 39350-9787
(601) 562-9126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1992
MS
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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