Individual
MELISSA BLACK MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 EZELL ST, SPARTANBURG, SC 29306
(864) 573-5956
(864) 573-7353
Mailing address
150 LOBLOLLY DR, SPARTANBURG, SC 29303
(864) 279-3628
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4208
SC
Other
Enumeration date
08/22/2006
Last updated
08/05/2008
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