Individual
KELLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 ROSELAWN DR, NATCHEZ, MS 39120-4069
(601) 392-8706
(601) 442-9294
Mailing address
11 ROSELAWN DR, NATCHEZ, MS 39120-4069
(601) 870-3905
(601) 442-9294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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