Individual
CONNIE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 ASBURY CIR STE A, HATTIESBURG, MS 39402-1397
(601) 264-7079
(601) 296-7819
Mailing address
105 ASBURY CIR STE A, HATTIESBURG, MS 39402-1397
(601) 264-7079
(601) 296-7819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2346
MS
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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