Individual
MARY ELIZABETH STATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
6630 SUMMER KNOLL CIR, SUITE 101, BARTLETT, TN 38134-2875
(901) 550-7867
Mailing address
6630 SUMMER KNOLL CIR, SUITE 101, BARTLETT, TN 38134-2875
(901) 550-7867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002198
TN
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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