Individual
MRS. KESHA DAVIS WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
634 BYRAM MEADOWS DR, BYRAM, MS 39272-9301
(601) 421-3041
Mailing address
634 BYRAM MEADOWS DR, BYRAM, MS 39272-9301
(601) 421-3041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1840
MS
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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