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Shamika Ruth Conley
Mental Health Counselor in Canton, Mississippi
NPI 1114502853

Shamika Ruth Conley is a Mental Health Counselor based in Canton, MS and is specialized in Mental Health. Shamika Ruth Conley practices in Canton, MS. The NPI Number for Shamika Ruth Conley is 1114502853 and holds a License No. 4428 (Mississippi).

The current practice location address for Shamika Ruth Conley is 103 Southlake Cir, Canton, MS and can be reached out via phone at 601-859-8371.

Location: 103 Southlake Cir, Canton, MS, 39046-5369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114502853
Provider Name
Shamika Ruth Conley
Credential
Provider Entity Type
Individual
Gender
Female
Address
103 Southlake Cir, Canton, MS, 39046-5369
Phone Number
601-859-8371
Fax Number
Provider Enumeration Date
03/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Southlake Cir
City
Canton
State
Mississippi
Zip
39046-5369
Phone Number
601-859-8371
Fax Number
person
Provider Business Mailing Address Details
Address
103 Southlake Cir
City
Canton
State
Mississippi
Zip
39046-5369
Phone Number
601-859-8371
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4428 (Mississippi)
Definition
Definition to come...
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