Individual
ANGELISA WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W REED RD STE 1A, GREENVILLE, MS 38701-6967
(662) 347-6431
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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