Individual
KIA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.REL, PCMHT
Contact information
Practice address
620 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 823-2345
(601) 833-3752
Mailing address
620 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 823-2345
(601) 833-3752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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