Individual
MS. KIM LATICE HARVEY-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 W GEORGE E ALLEN DR # B, BOONEVILLE, MS 38829-1204
(662) 728-5445
Mailing address
206 S MIDDLE ST, RIPLEY, MS 38663-2318
(601) 604-1302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2136
MS
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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