Individual
MR. JEFFERY TODD RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
42 TAMEENA DR, PICAYUNE, MS 39466-8868
(601) 337-0207
Mailing address
42 TAMEENA DR, PICAYUNE, MS 39466-8868
(601) 337-0207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1086
MS
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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