Individual
ENA MELTON-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2301
(229) 386-3991
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 391-2301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012734
GA
101YM0800X
Mental Health Counselor
MC 60339367
WA
Other
Enumeration date
05/15/2013
Last updated
03/15/2022
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