Individual
MELISSA KILLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
205 ACADEMY DR, ANDALUSIA, AL 36420-4154
(334) 428-5050
Mailing address
205 ACADEMY DR, ANDALUSIA, AL 36420-4154
(334) 428-5050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1775
AL
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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