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Organization

DARBY WALTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARBY D WALTON LPC, NCC, CADC-I (LICENSED PROFESSIONAL COUNSELOR)
(662) 710-8570
Entity
Organization

Contact information

Practice address
6858 SWINNEA RD, SOUTHAVEN, MS 38671-9493
(662) 536-6210
Mailing address
6573 WHITE HAWK LN, OLIVE BRANCH, MS 38654-6387
(662) 710-8570

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2122
MS

Other

Enumeration date
03/31/2017
Last updated
03/31/2017
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