Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BUCKHOLDT, PH.D.
Active Sole ProprietorKELLY BUCKHOLDT, PH.D. is a Counselor healthcare provider located in JACKSON, Mississippi. NPI 1083024079 is currently active in the NPPES registry. Verify at CMS.
Counselor · JACKSON, MS
Registration Details
- NPI Number
- 1083024079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2014 (12.248249709953 yrs)
- Last Updated
- Apr 26, 2016
- License
-
54955 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 E WOODROW WILSON AVEJACKSON, MS, 392165116Browse MS providers · Browse ZIP 39216
- Phone
- 6013647903
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHY LUPER WOODLIFF | LPC | 1275629487 |
| MRS. PATRICIA ELAINE MONTGOMERY | ADDICTION THERAPIST | 1588749279 |
| MRS. BARBARA BOSS MARTIN | LPC LMFT | 1194897140 |
| MS. ENA SIMONE GOODS | MS | 1982766804 |
| MISS LEIGH ANN RICHARDSON | L.P.C | 1902921323 |
| MR. BAXTER HUGH HOGUE | LPC | 1346453875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.