Individual
PHYLLIS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 I 55 N, JACKSON, MS 39211-5930
(601) 212-2056
Mailing address
208 ACADIA LN, MADISON, MS 39110-8433
(601) 212-2056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/17/2023
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