Individual
LYDIA DENYSE DENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
390 DOVER LN, MADISON, MS 39110-9418
(601) 519-1535
Mailing address
390 DOVER LN, MADISON, MS 39110-9418
(601) 519-1535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041
MS
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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