Individual
KIMBERLY JOLENE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3604 N 10TH ST, OCEAN SPRINGS, MS 39564-9485
(228) 342-2446
Mailing address
3604 N 10TH ST, OCEAN SPRINGS, MS 39564-9485
(228) 342-2446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
09/09/2008
Last updated
04/29/2014
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