Individual
TIFFANY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP, NCC, LPC
Contact information
Practice address
4915 I 55 N, SUITE 205 B, JACKSON, MS 39206-5065
(601) 900-2444
Mailing address
113B MEADOWWOOD DR, CLINTON, MS 39056-5928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1615
MS
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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