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Miss Kelly Clark
Mental Health Counselor in Booneville, Mississippi
NPI 1942605852

Kelly Clark is a Mental Health Counselor based in Booneville, MS and is specialized in Mental Health. Kelly Clark practices in Booneville, MS. The NPI Number for Kelly Clark is 1942605852 and holds a License No. BS DEGREE (Mississippi).

The current practice location address for Kelly Clark is 2301 E Chambers Dr, Booneville, MS and can be reached out via phone at 662-728-3154.

Location: 2301 E Chambers Dr, Booneville, MS, 38829-8903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942605852
Provider Name
Kelly Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2301 E Chambers Dr, Booneville, MS, 38829-8903
Phone Number
662-728-3154
Fax Number
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2301 E Chambers Dr
City
Booneville
State
Mississippi
Zip
38829-8903
Phone Number
662-728-3154
Fax Number
person
Provider Business Mailing Address Details
Address
2301 E Chambers Dr
City
Booneville
State
Mississippi
Zip
38829-8903
Phone Number
662-728-3154
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
BS DEGREE (Mississippi)
Definition
Definition to come...
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