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Individual

JUSTIN WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2939
MS

Other

Enumeration date
04/22/2020
Last updated
11/27/2024
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