Individual
FREDNA LEIGH GEORGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAPC, LPC
Contact information
Practice address
615 HIGHWAY 469 N, FLORENCE, MS 39073-8928
(601) 966-2847
Mailing address
615 HIGHWAY 469 N, FLORENCE, MS 39073-8928
(601) 966-2847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2549
MS
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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