Kimberlys S Hodge
Counselor, Mental Health in Brandon, MS. Individual provider (NPI-1).
NPI number1114709136
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1114709136
- Entity type
- Individual (NPI-1)
- Name
- Kimberlys S Hodge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 15, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | MS | Yes |
Practice location
613 Marquette RdBrandon, MS 39042-3038
Phone 601-824-1692
Mailing address
Po Box 88Brandon, MS 39043-0088
Phone 601-824-1692
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