Individual
MR. MIQUELL MCGLOTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9056B COLLINSVILLE RD, COLLINSVILLE, MS 39325-9100
(601) 462-9706
Mailing address
4820A POPLAR SPRINGS DR # 112, MERIDIAN, MS 39305-2624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1149
MS
Other
Enumeration date
09/13/2010
Last updated
11/03/2022
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