Individual
KELLI SHANEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 591-5445
Mailing address
3555 JACKYE LN, JACKSON, MS 39213-5112
(601) 750-4908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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