Individual
DR. MAEGAN LEIGH JOHNSTON TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC-S, NCC
Contact information
Practice address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 506-2059
Mailing address
40 COUNTY ROAD 325, TAYLOR, MS 38673-4535
(662) 801-0011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2152
MS
Other
Enumeration date
08/20/2015
Last updated
07/22/2022
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