Individual
MARY K MEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
363 DOVER LN, MADISON, MS 39110-9419
(601) 316-4592
Mailing address
363 DOVER LANE, MADISON, MS 39110
(601) 316-4592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1492
MS
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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