Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KELLY CLARK
Active Sole ProprietorMISS KELLY CLARK is a Mental Health Counselor healthcare provider located in BOONEVILLE, Mississippi. NPI 1942605852 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BOONEVILLE, MS
Registration Details
- NPI Number
- 1942605852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2014 (11.752196291689 yrs)
- Last Updated
- Nov 4, 2014
- License
-
BS DEGREE (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2301 E CHAMBERS DRBOONEVILLE, MS, 388298903Browse MS providers · Browse ZIP 38829
- Phone
- 6627283154
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BOONEVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| JOYE HANKINS STEEN | PH.D. | 1669661591 |
| PAM CASTLE | PCMHT | 1013193184 |
| MARY E. SMITH | CMHT, LPC | 1639355795 |
| VICKIE LAWSON | CMHT | 1194901256 |
| WENDY CHISHOLM | CMHT | 1376729434 |
| JOHN BAKER | LPC | 1538337993 |
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.