Individual
CRISTIN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 684-2173
(601) 249-4234
Mailing address
1122 HARRISON DR, MCCOMB, MS 39648-8427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH0076
MS
104100000X
Social Worker
Primary
W3294
MS
Other
Enumeration date
07/09/2006
Last updated
03/26/2013
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