Thorne, Kambria

Thorne, Kambria is an individual health care provider with primary practice located at 3450 Highway 80 W , Jackson MS 39209-7201. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thorne, Kambria can be contacted via phone (601) 321-2400.

Contact Information

Primary practice address
3450 Highway 80 W Jackson MS 39209-7201
Fax: (601) 985-5174
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396225926
LBN Legal business name Thorne, Kambria
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2018
Last updated Mar 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396225926 NPPES
Mississippi MEDICAID 00018209

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