Individual provider · Type 1 NPI

Kim Sistrunk, LCMHT

Mental Health Counselor · Tupelo, MS

NPI number 1780194092 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780194092

Kim Sistrunk, LCMHT's National Provider Identifier is 1780194092, issued on Oct 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Oct 2, 2017.