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Individual

MS. MARY LOUISE BARKSDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCP, LPC, NCC

Contact information

Practice address
357 TOWNE CENTER BLVD, SUITE 402, RIDGELAND, MS 39157-4837
(601) 952-0515
Mailing address
784 PINEHURST PL, JACKSON, MS 39202-1737
(601) 969-7667

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 0520
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MS LPC 0620
GROUP NUMBER
MS
Enumeration date
02/23/2007
Last updated
07/08/2007
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