Individual
PHILIP BAQUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1200 JEFFERSON AVE, SUITE 200B, OXFORD, MS 38655-3724
(662) 801-9497
Mailing address
1200 JEFFERSON AVE, SUITE 200B, OXFORD, MS 38655-3724
(662) 801-9497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006
MS
Other
Enumeration date
06/04/2015
Last updated
07/09/2015
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