Individual
MRS. KIZZIE WELLS-DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED COUNSELOR
Contact information
Practice address
4911 FRIAR TUCK AVE, PASCAGOULA, MS 39581-4804
(228) 990-6126
Mailing address
4911 FRIAR TUCK AVE, PASCAGOULA, MS 39581-4804
(228) 990-6126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1483
MS
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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