Individual
KANEESHA ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCIDDT
Contact information
Practice address
710 OAK ST, LEAKESVILLE, MS 39451-3127
(601) 394-2887
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
657
MS
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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