Individual
TROY W FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11201 OLD HIGHWAY 49, GULFPORT, MS 39503-4143
(228) 324-4580
Mailing address
17608 ROBINSON RD, GULFPORT, MS 39503-7759
(228) 324-4580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2354
MS
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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