Individual
SKYLA KEYUARA BRENSHA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, PCCSS
Contact information
Practice address
200 FAIRLAND PL, CLARKSDALE, MS 38614-4537
(662) 645-9905
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 645-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC3905
MS
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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