Individual
LAKRYSTAL ANN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
2419 10TH ST, MERIDIAN, MS 39301-5040
(601) 282-1600
(601) 286-5735
Mailing address
2419 10TH ST, MERIDIAN, MS 39301-5040
(601) 282-1600
(601) 286-5735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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