Individual
KELLY SACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
22 WESTVIEW DR, COLLINS, MS 39428-3990
(601) 765-4514
(601) 765-8941
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 750-1952
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0511A
MS
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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