Individual
MRS. TAMALA A AMICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC
Contact information
Practice address
REGION III MENTAL HEALTH CENTER, 2434 SOUTH EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
5301 WYNTREE CV, TUPELO, MS 38801-8998
(662) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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