Individual
MS. KELLI LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 376-3787
Mailing address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 376-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1656
MS
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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