Individual
BRITTNAY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 MLK DR, MACON, MS 39341-2734
(662) 726-5042
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-3918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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