Individual
MRS. TERESA NICOLE WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6690 ROSE LN # B, MARION, MS 39342-9201
(601) 479-6474
Mailing address
6690 ROSE LN # B, MARION, MS 39342-9201
(601) 479-6474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1010
MS
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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