Individual
KELLIE MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 FRANKLIN ST STE A, NATCHEZ, MS 39120-3208
(601) 442-0270
(601) 442-0270
Mailing address
409 FRANKLIN ST STE A, NATCHEZ, MS 39120-3208
(601) 442-0270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205354974
OUT OF NETWORK
MS
Enumeration date
01/05/2018
Last updated
01/05/2018
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