Individual
CAITLYN WATTS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7570 OLD CANTON RD STE 102, MADISON, MS 39110-6100
(601) 809-5324
Mailing address
583 OLD JACKSON RD APT 128, CANTON, MS 39046-0380
(601) 201-5385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1226
MS
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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