Individual
TASHANA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCSS
Contact information
Practice address
1721 W 10TH ST, LAUREL, MS 39440-2540
(601) 425-9322
(601) 425-3231
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3917
MS
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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