Individual
MRS. MELISSA S GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HOSPITAL RD, FORT GORDON, GA 30905-5650
(706) 787-9043
(706) 787-0105
Mailing address
300 HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-9043
(706) 787-0105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
09/13/2010
Last updated
10/04/2013
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