Individual
DIONNE WEATHERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Mailing address
1701 WHITE ST, PO BOX 768, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548839
—
LA
Enumeration date
10/08/2015
Last updated
04/17/2019
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