| NPI | 1194059964 |
|---|---|
| Doing Business As | ADVA |
| Entity Type | Organization |
| Authorized Contact | LACY M DEESE Licensed Professional Counselor 601-670-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1466) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |