Keiquanae Tatayana Smith

NPI #1043777345 in Natchez, Mississippi

Provider Information

NPI Number
1043777345
Entity Type
Individual
Name
Keiquanae Tatayana Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Feb 23, 2019
Last Updated
Feb 23, 2019

Practice Location

Address
55 SERGEANT PRENTISS DR STE 102
ZIP Code
39120-4791
Phone
(601) 304-5567

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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