Individual
MR. MICHAEL K TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
Mailing address
7068 EDGEWATER DR, RIDGELAND, MS 39157-1011
(601) 949-1949
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
TO349
MS
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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