Individual
MARKETA R MOTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
610 CHELSEA DR, JACKSON, MS 39212-4607
(662) 931-2699
Mailing address
PO BOX 75666, JACKSON, MS 39282-5666
(662) 931-2699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1958
MS
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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