Individual provider · Type 1 NPI

Kelly Thompson, PCCSS

Counselor · Hattiesburg, MS

NPI number 1154044980 Active

Practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Call (601) 582-1111 Map

Fax (601) 450-0765

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3440 (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 1154044980

Kelly Thompson, PCCSS's National Provider Identifier is 1154044980, issued on Sep 26, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 26, 2022.