Provider Demographics
NPI:1891827010
Name:ROBERTSON, MELISSA DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:DAWN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 COUNTY ROAD 306
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-8865
Mailing Address - Country:US
Mailing Address - Phone:662-396-0048
Mailing Address - Fax:
Practice Address - Street 1:533 COUNTY ROAD 306
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-8865
Practice Address - Country:US
Practice Address - Phone:662-396-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor