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Organization
A TREE OF LIFE COUNSELING, PLLC
Active
Organization
A TREE OF LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA VAIL (ADMINISTRATION)
(662) 840-4577
Entity
Organization
Contact information
Practice address
186 HIGHWAY 15 S, PONTOTOC, MS 38863-3108
(662) 586-1050
Mailing address
186 HIGHWAY 15 S, PONTOTOC, MS 38863-3108
(662) 586-1050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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