Individual
TAMMANI TREVILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1414 CHERRY ST, VICKSBURG, MS 39180-3218
(601) 636-5703
Mailing address
PO BOX 2034, FAYETTE, MS 39069-2034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2767
MS
101YP2500X
Professional Counselor
88663
TX
Other
Enumeration date
08/10/2021
Last updated
09/04/2025
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