Individual
MISS MELISSA JACKSON PHOTHIRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 UPTOWN SQ, MURFREESBORO, TN 37129-0575
(615) 631-6789
Mailing address
405 UPTOWN SQ, MURFREESBORO, TN 37129-0575
(615) 631-6789
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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