Individual provider · Type 1 NPI

Kameron Yates

Counselor · Jackson, MS

NPI number 1093631665 Active

Practice location

4400 Old Canton Rd
Jackson, MS 39211-5982

Call (601) 984-5236 Map

Mailing address

1015 Clark Ln
Hazlehurst, MS 39083-8835

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1093631665

Kameron Yates's National Provider Identifier is 1093631665, issued on Jun 26, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 26, 2026.