Individual
KIMBERLY A BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3227 AUDUBON DR, LAUREL, MS 39440-1422
(601) 425-9322
(601) 584-4053
Mailing address
PO BOX 113, LAUREL, MS 39441-0113
(601) 425-9322
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1234
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18212
—
MS
Enumeration date
03/06/2007
Last updated
07/08/2007
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