Individual
STACEY MATTHEWS OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 OLD SQUARE RD STE 101, JACKSON, MS 39211-5533
(601) 977-9353
Mailing address
580 S PEAR ORCHARD RD APT 1708, RIDGELAND, MS 39157-4219
(601) 842-0645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1214
MS
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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