Individual
MRS. MELISSA ANN GUNTER PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2504 BROWNING RD, GREENWOOD, MS 38930
(662) 453-6211
Mailing address
PO BOX 1505, GREENWOOD, MS 38930
(662) 453-6211
(662) 455-5243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0894
MS
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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