Individual
TAJI J VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 TCHULAHOMA RD BLDG B, SOUTHAVEN, MS 38671-9266
(662) 536-3132
Mailing address
7160 TCHULAHOMA RD BLDG B, SOUTHAVEN, MS 38671-9266
(662) 536-3132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M6364
MS
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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