Individual
MRS. GLORIA SMITH WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 BRIARWOOD DR, BUILDINGA SUITE 106-E, JACKSON, MS 39206-3052
(601) 991-3156
(601) 991-3157
Mailing address
PO BOX 31234, JACKSON, MS 39286-1234
(601) 201-4189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CO793
MS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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