Provider Demographics
NPI:1740052950
Name:NABORS, NORMAN DALE (LMSW)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:DALE
Last Name:NABORS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OXFORD SQ
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6191
Mailing Address - Country:US
Mailing Address - Phone:662-210-9993
Mailing Address - Fax:
Practice Address - Street 1:10 OXFORD SQ
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-6191
Practice Address - Country:US
Practice Address - Phone:662-210-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM9336101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)