Individual
CODI LABRINA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 STARR AVE, SUITE K, STARKVILLE, MS 39759
(972) 898-2394
Mailing address
7863 SEER CREEK ROAD, STARKVILLE, MS 39759
(972) 898-2394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2441
MS
Other
Enumeration date
04/02/2021
Last updated
09/11/2025
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