Individual
OTAVIA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
665 S PEAR ORCHARD RD STE 106-1085, RIDGELAND, MS 39157-4859
(601) 554-6989
Mailing address
665 S PEAR ORCHARD RD STE 106-1085, RIDGELAND, MS 39157-4859
(601) 554-6989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2751
MS
Other
Enumeration date
01/24/2022
Last updated
02/25/2022
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