Individual
PHILLIP D BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
301 S CASS ST, CORINTH, MS 38834-6109
(662) 286-9860
(662) 286-8095
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9860
(662) 286-8095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018207
—
MS
Enumeration date
05/22/2012
Last updated
08/25/2016
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