Individual
HEATHER D KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-3158
Mailing address
107 TRADITION PKWY, FLOWOOD, MS 39232-8021
(601) 946-3640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0690
MS
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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