Provider Demographics
NPI:1083890784
Name:FRENCH, MARY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:FRENCH
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:510 W 29TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-2760
Mailing Address - Country:US
Mailing Address - Phone:307-426-4728
Mailing Address - Fax:662-842-6512
Practice Address - Street 1:211 N MADISON ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804
Practice Address - Country:US
Practice Address - Phone:662-690-4007
Practice Address - Fax:662-842-6512
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS686101YM0800X
WYLPC-1734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health