Individual
REGINA GAYLE AMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7317 BRIDLE LN, SOUTHAVEN, MS 38671-8736
(662) 772-6697
Mailing address
7317 BRIDLE LN, SOUTHAVEN, MS 38671-8736
(662) 772-6697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3098
MS
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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