Individual
CHEYANNE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 MLK DR, MACON, MS 39341-2734
(662) 726-5042
Mailing address
PO BOX 1336, WEST POINT, MS 39773-1336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700894730
THERAPIST
MS
Enumeration date
01/12/2023
Last updated
01/12/2023
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