Individual
EFE' OKHOMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
Mailing address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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