| The Journey Resource Center | |
|
114 E Bolton St Pontotoc MS 38863-1506 | |
| (660) 760-0115 | |
| (662) 489-7298 |
| Full Name | The Journey Resource Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 114 E Bolton St, Pontotoc, Mississippi |
| Authorized Official Name and Position | Kimberly Ann Kelly (COUNSELOR) |
| Authorized Official Contact | 6627600115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Journey Resource Center 30 County Road 7051 Booneville MS 38829-7517 Ph: (662) 760-0115 | The Journey Resource Center 114 E Bolton St Pontotoc MS 38863-1506 Ph: (660) 760-0115 |
| NPI Number | 1033510391 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033510391 | NPI | - | NPPES |
| 1923 | Other | MS | COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1923 (Mississippi) | Primary |
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