Individual provider · Type 1 NPI
Kaneesha Roby, PCIDDT
Mental Health Counselor · Leakesville, MS
NPI number
1053035501
Active
Practice location
710 Oak St
Leakesville, MS 39451-3127
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 657 (MS) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Leakesville
About NPI 1053035501
Kaneesha Roby, PCIDDT's National Provider Identifier is 1053035501, issued on Sep 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leakesville, MS. The record was last updated on Sep 28, 2022.