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Kassandra Decker, LPC

Counselor, Mental Health in Corinth, MS. Individual provider (NPI-1).

NPI number1104166404
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1104166404
Entity type
Individual (NPI-1)
Name
Kassandra Decker
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 22, 2013
Certification date
Jan 12, 2022
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health2037MSYes
101YM0800X Counselor, Mental Health––

Practice location

1904 Oak Ln
Corinth, MS 38834-2760

Phone 662-640-2069 · Fax 901-221-1533

Mailing address

1904 Oak Ln
Corinth, MS 38834-2760

Phone 662-640-2069 · Fax 901-221-1533

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