Individual
MRS. LISA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
223 SHARKEY AVE, CLARKSDALE, MS 38614-4497
(662) 902-1420
(662) 624-4155
Mailing address
1724 MAYWOOD PL, CLARKSDALE, MS 38614-1702
(662) 902-1420
(662) 624-4155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
254
MS
Other
Enumeration date
06/15/2007
Last updated
12/21/2023
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