| Miss Kelly Clark, | |
|
2301 E Chambers Dr, Booneville, MS 38829-8903 | |
| (662) 728-3154 | |
| Not Available |
| Full Name | Miss Kelly Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2301 E Chambers Dr, Booneville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942605852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BS DEGREE (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kelly Clark, 2301 E Chambers Dr, Booneville, MS 38829-8903 Ph: (662) 728-3154 | Miss Kelly Clark, 2301 E Chambers Dr, Booneville, MS 38829-8903 Ph: (662) 728-3154 |
Pam Castle, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 East Chambers Street, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-286-8095 | |
Alyson Woodruff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Kathryn Gann Murff, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175 | |
Vanity Kay Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Jamiah Elizabeth Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Christy Brantley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 | |
Ellen Yow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175 |