Individual
REBEKAH RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-6543
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2221
MS
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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