Individual
SALLY REAGAN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
Mailing address
15489 DEDEAUX RD, GULFPORT, MS 39503-2667
(228) 357-5671
(228) 357-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
07/12/2021
Last updated
12/10/2025
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