Individual
MRS. FULIVIA ELMA CANNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP,NCC,LPC
Contact information
Practice address
113B WILLOW BROOK DR, CLINTON, MS 39056-5802
(601) 832-8264
Mailing address
113B WILLOW BROOK DR, CLINTON, MS 39056-5802
(601) 832-8264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
208894
MS
101YP2500X
Professional Counselor
1220
MS
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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