Individual
DR. JENISE KOHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8171
Mailing address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
51 890
MS
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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