Individual
MELISSA BORDELON SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 825-8800
(601) 824-0349
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 825-8800
(601) 824-0349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1912
MS
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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