Individual
THERESA MICHELLE SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1441 22ND AVENUE HTS, MERIDIAN, MS 39301-6818
(601) 479-7574
Mailing address
1441 22ND AVENUE HTS, MERIDIAN, MS 39301-6818
(601) 479-7574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2165
MS
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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