Individual
MRS. KIMBERLY NELL AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
899 HANALEI CIR, DIAMONDHEAD, MS 39525
(504) 439-4011
Mailing address
899 HANALEI CIRCLE, DIAMONDHEAD, MS 39525
(504) 439-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C8898
MS
1041C0700X
Clinical Social Worker
Primary
112284
TX
Other
Enumeration date
07/13/2021
Last updated
01/10/2024
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