Individual
MRS. LIDA P CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MS LPC
Contact information
Practice address
1855 CRANE RIDGE DR STE A, JACKSON, MS 39216-4944
(601) 951-3131
(601) 951-3131
Mailing address
1855 CRANE RIDGE DR STE A, JACKSON, MS 39216-4944
(601) 951-3131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1040
MS
Other
Enumeration date
03/12/2007
Last updated
01/04/2022
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