Individual
KRISTIE MICHELLE MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N MAIN ST, PICAYUNE, MS 39466-3313
(985) 774-1668
Mailing address
207 N STEELE AVE, PICAYUNE, MS 39466-4077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-1553
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
04/20/2026
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