Kelly Holloman Gardner, LPC
NPI #1245420520 in Southaven, Mississippi
Provider Information
- NPI Number
- 1245420520
- Entity Type
- Individual
- Name
- Kelly Holloman Gardner, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Mar 4, 2013
Practice Location
- Address
- 7165 GETWELL RD BLDG G
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-9619
- Phone
- (662) 349-2818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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