Individual
KENYATTA YAMISSE DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
166 HARVEY CIR, CANTON, MS 39046-4560
(662) 836-9574
Mailing address
PO BOX 1132, CANTON, MS 39046-1132
(662) 836-9574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2669
MS
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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