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Individual

TERRY V TIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1018 N GLOSTER ST STE F, TUPELO, MS 38804-1234
(662) 540-5558
Mailing address
2639 OAKCREST DR, TUPELO, MS 38804-8003
(662) 401-4908

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2215
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497271837
N/A
MS
Enumeration date
08/17/2017
Last updated
06/07/2019
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