Individual provider · Type 1 NPI

Micah Jade Davis-Hurt

Mental Health Counselor · Tupelo, MS

NPI number 1710300058 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 844-1717 Map

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710300058

Micah Jade Davis-Hurt's National Provider Identifier is 1710300058, issued on Jan 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Jan 22, 2014.