LEE-KEETHIA TYANNE THOMPSON-PORTER

JACKSON, MS
NPI1861856841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  CMHT2942)
Enumeration Date2016-04-06
Last Update Date2022-06-02
Business Address
Ms. LEE-KEETHIA TYANNE THOMPSON-PORTER CMHT
4780 I 55 N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816
Mailing Address
Ms. LEE-KEETHIA TYANNE THOMPSON-PORTER CMHT
4780 I 55 N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816