Individual
KELLI H. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8829 CENTRE ST, SOUTHAVEN, MS 38671-2610
(662) 280-5758
(662) 280-5708
Mailing address
8829 CENTRE ST, SOUTHAVEN, MS 38671-2610
(662) 280-5758
(662) 280-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2632
TN
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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