Individual
MS. KIMBERLY ANTOINETTE CULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1513 LAKELAND DR STE 200, JACKSON, MS 39216-4861
(769) 777-1000
(769) 230-2864
Mailing address
123 MAGNOLIA WAY, PEARL, MS 39208-3366
(601) 613-8634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2271
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2271
PRACTITIONER SUBMISSION
—
Enumeration date
10/08/2018
Last updated
10/08/2018
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