Individual
MRS. MARGARET COOPER TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1742 CHERYL ST, CLARKSDALE, MS 38614-7218
(662) 627-7267
(662) 627-5240
Mailing address
PO BOX 1046, CLARKSDALE, MS 38614-1046
(662) 627-7267
(662) 627-5240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0478
CERTIFIED MENTAL HEALTH THERAPIST
MS
Enumeration date
02/10/2010
Last updated
02/10/2010
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