KIMBERLY FONVILLE

Counselor

Active Individual
NPI: 1336765536

Practice Address

860 E RIVER PL STE 100
Jackson, MS 39202

Phone: (769) 251-5550

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1336765536 is the National Provider Identifier for KIMBERLY FONVILLE, a Counselor provider located in Jackson, MS. This NPI was enumerated on June 23, 2020.
KIMBERLY FONVILLE practices at 860 E RIVER PL STE 100, Jackson, MS 39202.

Quick Facts

NPI
1336765536
Type
Individual
Enumerated
Jun 23, 2020
Last Updated
Jun 23, 2020

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