Individual
MRS. KYLE KIMBRIEL STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1459 MAIN ST, TUNICA, MS 38676
(662) 636-3222
Mailing address
PO BOX 1046, CLARKSDALE, MS 38614-1046
(662) 627-7267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1270
MS
Other
Enumeration date
06/19/2007
Last updated
09/12/2008
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