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Search › Mississippi › 1041C0700X

Kipp Heatherly, LCSW

NPI 1750638557 · on the registry since 2012 · sole proprietor

Practice

Address
152 Highway 7 S
Oxford, MS 38655
Phone
(662) 234-7521
Fax
(662) 236-3071
Organisation at this address
Communicare
North Mississippi Commission On Mental Illness/ Mental
North Mississippi Commission On Mental Illness/Mental Retardation
North Mississippi Commission On Mental Illness/Mental Retardation
North Mississippi Commission On Mental Illness/Mental Retardation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
544

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi