Individual
TERESA MYHLHOUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1755 LELIA DR STE 105, JACKSON, MS 39216-4828
(601) 383-7323
Mailing address
1755 LELIA DR STE 105, JACKSON, MS 39216-4828
(601) 383-7323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3096
MS
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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