Individual
CORBY W. PATHANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 I 55 N STE 216, JACKSON, MS 39211-5931
(601) 859-8371
Mailing address
761 RICE RD APT 403, RIDGELAND, MS 39157-1089
(850) 512-6788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1394
MS
Other
Enumeration date
03/12/2012
Last updated
07/11/2023
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