Individual
MISTY M WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
613 MARQUETTE ROAD, BRANDON, MS 39042
(601) 824-0342
(601) 824-0349
Mailing address
PO BOX 88, BRANDON, MS 39043
(601) 824-0342
(601) 824-0349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0891
MS
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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