Troy W Farris, LPC
Counselor, Professional in Gulfport, MS. Individual provider (NPI-1).
NPI number1366046401
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1366046401
- Entity type
- Individual (NPI-1)
- Name
- Troy W Farris
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2354 | MS | Yes |
Practice location
11201 Old Highway 49Gulfport, MS 39503-4143
Phone 228-324-4580
Mailing address
17608 Robinson RdGulfport, MS 39503-7759
Phone 228-324-4580
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