Individual provider · Type 1 NPI

Faith Dolores Tatum

Mental Health Counselor · Tupelo, MS

NPI number 1194001040 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Mailing address

56 Village Loop
Starkville, MS 39759-1635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194001040

Faith Dolores Tatum's National Provider Identifier is 1194001040, issued on Oct 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Apr 7, 2016.