Individual
MS. KIMBERLY LEATRICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, NCC, LMHCA
Contact information
Practice address
3912 SANTA FE LOOP, HORN LAKE, MS 38637-3775
(662) 641-2351
Mailing address
3912 SANTA FE LOOP, HORN LAKE, MS 38637-3775
(662) 641-2351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61492643
WA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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