Individual
AYANNA ETTANN GILL-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15239 WINDMILL RIDGE PKWY, DIBERVILLE, MS 39540-8805
(601) 955-0610
Mailing address
15239 WINDMILL RIDGE PKWY, DIBERVILLE, MS 39540-8805
(601) 955-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1778
MS
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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