Individual
LANIQUE ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
230 GOODMAN RD E STE 204, SOUTHAVEN, MS 38671-8313
(662) 985-1844
Mailing address
230 GOODMAN RD E STE 204, SOUTHAVEN, MS 38671-8313
(662) 985-1844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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