Dr. Kimberly Elam Sallis, PhD; LPC-S, BC-TMH
Counselor, Professional in Oxford, MS. Individual provider (NPI-1).
NPI number1003587486
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1003587486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Elam Sallis
- Credential
- PhD; LPC-S, BC-TMH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2021
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0933 | MS | Yes |
Practice location
507 Heritage Dr Ste 102Oxford, MS 38655-5571
Phone 662-816-0968
Mailing address
558 County Road 102Oxford, MS 38655-8610
Phone 662-816-0968
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