Individual provider · Type 1 NPI

Kelly Buckholdt, PhD

Counselor · Jackson, MS

NPI number 1083024079 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 364-7903 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X54955 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1083024079

Kelly Buckholdt, PhD's National Provider Identifier is 1083024079, issued on Apr 30, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, MS. The record was last updated on Apr 26, 2016.