HART KATHERINE WYLIE

JACKSON, MS
NPI1053639088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  R883581)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: MS  1360)
106H00000X Marriage & Family Therapist
(Licence: MS  T0434)
Enumeration Date2010-05-14
Last Update Date2012-09-19
Business Address
-- HART KATHERINE WYLIE PMHNP, LPC
1855 LAKELAND DR SUITE P-121
JACKSON, MS 39216-4913
Phone number: 601-366-4696
Mailing Address
-- HART KATHERINE WYLIE PMHNP, LPC
1855 LAKELAND DR SUITE P-121
JACKSON, MS 39216-4913
Phone number: 601-366-4696