Individual
MRS. MELINDA GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2010 SYBIL LN, SUITE 130, TYLER, TX 75703-1823
(903) 363-9063
(903) 363-9067
Mailing address
2010 SYBIL LANE, SUITE 130, TYLER, TX 75703-1829
(903) 363-9063
(903) 363-9067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12715
TX
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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