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Individual

MISS ERICA ASHLEY BRUMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
501 AVALON WAY STE D, BRANDON, MS 39047-7500
(601) 874-3340
(601) 494-3241
Mailing address
PO BOX 68375, JACKSON, MS 39286-8375
(601) 874-3340
(601) 494-3340

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1843
MS
101Y00000X
Counselor
9780
LA
101YP2500X
Professional Counselor
Primary
1843
MS
101YP2500X
Professional Counselor
9780
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009356703
MS
Enumeration date
07/28/2016
Last updated
09/30/2024
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