Individual
EMMA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 AVIGNON DR, SUITE C, RIDGELAND, MS 39157
(601) 850-7074
Mailing address
745 AVIGNON DRIVE, SUITE C & D, RIDGELAND, MS 39157
(601) 850-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2883
MS
Other
Enumeration date
03/24/2021
Last updated
06/10/2025
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