Individual
MEGAN ELAINE LOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 JACKSON AVE, OCEAN SPRINGS, MS 39564-4619
(228) 875-6113
(228) 875-9065
Mailing address
2310 BROADMOOR PL, GULFPORT, MS 39501-3321
(228) 669-9483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7215
MS
101YP2500X
Professional Counselor
M7215
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
10/19/2011
Last updated
03/07/2017
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