Individual
JO ANN WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 N CASS ST STE A, CORINTH, MS 38834-5725
(662) 665-5311
Mailing address
36 CR 106, CORINTH, MS 38834
(662) 665-5311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1619
MS
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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