Individual
MELISSA LASHELL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CMHT
Contact information
Practice address
3087 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-4410
(601) 847-7634
Mailing address
3087 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-4410
(601) 847-7634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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