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Organization

COUNSELING FOR WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AARON CHARISSE GOUGH LPC (OWNER)
(662) 420-6152
Entity
Organization

Contact information

Practice address
6952 DOGWOOD MNR N STE 101, OLIVE BRANCH, MS 38654-2091
(662) 420-6152
(907) 313-1400
Mailing address
6952 DOGWOOD MNR N STE 101, OLIVE BRANCH, MS 38654-2091
(662) 420-6152
(907) 313-1400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/28/2023
Last updated
12/28/2023
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