Individual
DESIRAY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 S GEORGE AVE, PETAL, MS 39465-2028
(813) 764-3253
Mailing address
414 S GEORGE AVE, PETAL, MS 39465-2028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101534
TX
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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