Individual provider · Type 1 NPI

Kimberly C. Fonville

Counselor · Jackson, MS

NPI number 1336765536 Active

Practice location

860 E River Pl Ste 100
Jackson, MS 39202-3442

Call (769) 251-5550 Map

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 1336765536

Kimberly C. Fonville's National Provider Identifier is 1336765536, issued on Jun 23, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 23, 2020.