Kelly Buckholdt, PH.D.
NPI #1083024079 in Jackson, Mississippi
Provider Information
- NPI Number
- 1083024079
- Entity Type
- Individual
- Name
- Kelly Buckholdt, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- PH.D.
- Enumeration Date
- Apr 30, 2014
- Last Updated
- Apr 26, 2016
Practice Location
- Address
- 1500 E WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (601) 364-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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