Individual
NICOLE LYNN YENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 235-1836
Mailing address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 235-1836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P-0566
MS
101YP2500X
Professional Counselor
Primary
2942
MS
Other
Enumeration date
03/30/2020
Last updated
03/29/2023
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