person
Ivry Rayborn, PCIDDT
Mental Health Counselor in Richton, Mississippi
NPI 1427772979

Ivry Rayborn is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Ivry Rayborn practices in Richton, MS and has the professional credentials of PCIDDT. The NPI Number for Ivry Rayborn is 1427772979 and holds a License No. 630 (Mississippi).

The current practice location address for Ivry Rayborn is 200 N Front St, Richton, MS and can be reached out via phone at 601-788-6299.

Location: 200 N Front St, Richton, MS, 39404-8679
person
Provider Profile Details
NPI Number
1427772979
Provider Name
Ivry Rayborn
Credential
PCIDDT
Provider Entity Type
Individual
Gender
Female
Address
200 N Front St, Richton, MS, 39404-8679
Phone Number
601-788-6299
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 N Front St
City
State
Zip
39476-2201
Phone Number
601-788-6299
Fax Number
person
Provider Business Mailing Address Details
Address
200 N Front St
City
State
Zip
39476-2201
Phone Number
601-788-6299
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
630 (Mississippi)
Definition
Definition to come...
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