Individual
MRS. KIMBERLY M MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 842-9217
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 842-9217
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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