Individual
CORA SHANNON MAYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSM, CCP, PCMHT
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-1692
(601) 824-1681
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-1692
(601) 824-1681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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