Individual
MARY ZETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, LSW
Contact information
Practice address
84 COUNTY ROAD 158, QUITMAN, MS 39355-9444
(601) 479-7042
Mailing address
84 COUNTY ROAD 158, QUITMAN, MS 39355-9444
(601) 480-5402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2168
MS
Other
Enumeration date
05/01/2017
Last updated
09/01/2017
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