Individual
DR. KIMBERLY ELAM SALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD; LPC-S, BC-TMH
Contact information
Practice address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 816-0968
Mailing address
558 COUNTY ROAD 102, OXFORD, MS 38655-8610
(662) 816-0968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0933
MS
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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