NPI 1003587486

Kimberly Elam Sallis, PHDLPCSBCTMH

Practitioner Professional Counselor Oxford, MS

Practice location

Address: 507 Heritage Dr STE 102, Oxford, MS 38655-5571
Phone: (662) 816-0968
Mailing address: 558 County Road 102, Oxford, MS 38655-8610

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 0933 (MS)

Other Counselor providers in Mississippi →

Registry record

NPI: 1003587486
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2021
Record last updated: 24 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.