Individual
MRS. ASHLEY SUSANNE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 842-9217
Mailing address
1239 REESE ST, TUPELO, MS 38804-2832
(662) 760-8108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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