Individual
KRISTEN AMANDA SLAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
(601) 859-5433
Mailing address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
(601) 859-5433
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1638
MS
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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