Victorial Renett Deavens

NPI #1891223491 in Columbus, Mississippi

Provider Information

NPI Number: 1891223491
Entity Type: Individual
Name: Victorial Renett Deavens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 25, 2017
Last Updated: May 25, 2017

Practice Location

Address: 428 24TH AVE N
City: Columbus
State: Mississippi
ZIP Code: 39705-1945
Phone: (662) 241-7097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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