Individual
COURTNEY VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
Mailing address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1397
MS
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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