Individual
MS. KELLIE ELIZABETH PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Mailing address
1033 COUNTY ROAD 206, BLUE SPRINGS, MS 38828-8222
(662) 534-8057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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