Individual
KYMBRANESHA MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16220 W MAIN ST, LOUISVILLE, MS 39339-2639
(662) 773-9377
Mailing address
PO BOX 1336, WEST POINT, MS 39773-1336
(662) 524-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700894730
MENTAL HEALTH THERAPIST
MS
05
—
1700894730
—
MS
Enumeration date
01/11/2023
Last updated
01/11/2023
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