Individual
CORY JAMES SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
304 EMERALD LN, HATTIESBURG, MS 39401-6313
(601) 268-8796
Mailing address
304 EMERALD LN, HATTIESBURG, MS 39401-6313
(601) 268-8796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3194
MS
Other
Enumeration date
04/07/2025
Last updated
04/08/2025
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