Individual
MS. BRENDA BRACE-CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 684-2173
(601) 249-4234
Mailing address
PO BOX 804, MAGNOLIA, MS 39652-0761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1059
MS
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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