Individual
MS. REBA J MCMELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
18601 HIGHWAY 63, MOSS POINT, MS 39562-8579
(228) 588-6143
Mailing address
PO BOX 161, HURLEY, MS 39555-0161
(228) 588-6143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
498
GA
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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