Individual
MRS. KAYLA DENEE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
134 WOODBERRY PL, MADISON, MS 39110-7407
(601) 540-8691
Mailing address
134 WOODBERRY PL, MADISON, MS 39110-7407
(601) 540-8691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1315
MS
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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