Janice Lee Waller MED, CMHT

NPI 1326142969 - Counselor - 101YM0800X

NPI Details
NPI 1326142969
Gender Female
Enumeration Date 09/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
339 LEGION LN
PONTOTOC MS, 38863-8978, US
Phone (662) 509-9300
Fax (662) 509-6698
Business Location
69 COUNTY ROAD 311
OXFORD MS, 38655-8533, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mrs. Janice Lee Waller MED, CMHT NPI is 1326142969, taxonomy code is 101YM0800X Janice Lee Waller MED, CMHT physically located at 339 Legion Ln, Pontotoc MS, 38863-8978. NPI Number Janice Lee Waller MED, CMHT has the Individual type.

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1326142969 NPI number is provided on an as is basis without warranty of any kind. 1326142969 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Lee Waller MED, CMHT are for informational purposes only.