Individual
MRS. KAYLAND K ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
170A CUMBERLAND RD, BRANDON, MS 39047-6700
(601) 213-8971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
P-0794
MS
171M00000X
Case Manager/Care Coordinator
Primary
P-0794
MS
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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