Individual
MELISSA UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2839 ERIN LUCERN RD, UNION, MS 39365-8117
(601) 562-0445
Mailing address
2839 ERIN LUCERN RD, UNION, MS 39365-8117
(601) 562-0445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1196
MS
101YP2500X
Professional Counselor
Primary
1196
MS
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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