Individual
MELANIE KAY ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
6858 SWINNEA RD BLDG 4, SOUTHAVEN, MS 38671-9493
(662) 772-5937
(662) 772-5950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023
MS
Other
Enumeration date
09/05/2013
Last updated
04/21/2020
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