Individual
MARLINA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 MLK DR, MACON, MS 39341-2734
(662) 726-5042
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-3918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700894730
MENTAL HEALTH COUNSELOR
MS
Enumeration date
05/05/2023
Last updated
05/05/2023
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