Individual
MARYELLEN MCCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
15260 SEWANEE HWY, SEWANEE, TN 37375-2788
(931) 636-4415
Mailing address
PO BOX 7, SEWANEE, TN 37375-0007
(931) 636-4415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2838
TN
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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