Individual
MRS. MEGAN BUNNIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1640 LELIA DR STE 220, JACKSON, MS 39216-4832
(601) 914-4492
Mailing address
1640 LELIA DR STE 220, JACKSON, MS 39216-4832
(601) 914-4492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2184
MS
101YM0800X
Mental Health Counselor
3608
TN
Other
Enumeration date
03/09/2023
Last updated
01/25/2024
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