Individual
LANA MICHELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N SPRING ST, TUPELO, MS 38804-3924
(662) 371-1711
Mailing address
200 N SPRING ST, TUPELO, MS 38804-3924
(662) 371-1711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2927
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018203
—
MS
Enumeration date
10/30/2018
Last updated
04/14/2025
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