Individual
KIMBERLY DEYONNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
2803 OLD NORTH HILLS ST, MERIDIAN, MS 39305-1630
(601) 435-2919
(601) 286-5054
Mailing address
2803 OLD NORTH HILLS ST, MERIDIAN, MS 39305-1630
(601) 435-2919
(601) 286-5054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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