Individual provider · Type 1 NPI

Mary Elizabeth Statum, LPC-MHSP

Professional Counselor · Bartlett, TN

NPI number 1841610102 Active

Practice location

6630 Summer Knoll Cir, Suite 101
Bartlett, TN 38134-2875

Call (901) 550-7867 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC0000002198 (TN)

Professional Counselor: Definition to come...

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About NPI 1841610102

Mary Elizabeth Statum, LPC-MHSP's National Provider Identifier is 1841610102, issued on Apr 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bartlett, TN. The record was last updated on Apr 24, 2014.