MISS Melissa Jackson Phothirath
NPI #1366213340 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1366213340
- Entity Type
- Individual
- Name
- MISS Melissa Jackson Phothirath
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Pastoral
- Enumeration Date
- Jan 10, 2024
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 405 UPTOWN SQ
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37129-0575
- Phone
- (615) 631-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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