Individual
KAYSHA LITTLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
28119 N MAIN ST STE D, DAPHNE, AL 36526-7090
(251) 263-4094
Mailing address
28119 N MAIN ST STE D, DAPHNE, AL 36526-7090
(251) 263-4094
(251) 626-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3003
AL
Other
Enumeration date
04/15/2015
Last updated
05/07/2024
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