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BROOKLYN MICHELLE SELLERS LPC

Behavioral Health & Social Service Providers Counselor Professional

Provider NPI: 1477078558

Provider Information:
 BROOKLYN MICHELLE SELLERS LPC
Gender: F
Sole Proprietor

Practice Location:
2434 S EASON BLVD  TUPELO, MS 38804-6942 US
Tel: 662-640-4595  Fax: 662-680-6416

Business Mailing Address:
152 HIGHWAY 7 S  OXFORD, MS 38655-5392 US
Tel: 662-234-7521  Fax: 662-236-3071

NPI Information:
NPI: 1477078558
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MS2555

Other Provider Identifiers:

IssuerNumberStateType
00018203MS05



American Medical Association 2012 taxonomy code information

Code: 101YP2500X

Type:

Classification:



Definition:



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