Individual
MS. MARY T HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 BOONE ST, TUPELO, MS 38804-5908
(662) 844-3531
(662) 844-1757
Mailing address
711 HILLSHIRE PL, TUPELO, MS 38804-1952
(662) 844-0461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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