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Anthony Jerome Wood, NCC,LPC-S
Professional Counselor in Southaven, Mississippi
NPI 1215253620

Anthony Jerome Wood is a Professional Counselor based in Southaven, MS and is specialized in Professional. Anthony Jerome Wood practices in Southaven, MS and has the professional credentials of NCC,LPC-S. The NPI Number for Anthony Jerome Wood is 1215253620 and holds a License No. 1326 (Mississippi).

The current practice location address for Anthony Jerome Wood is 8626 Airways Blvd, Southaven, MS and can be reached out via phone at 662-772-5937 and via fax at 662-772-5940.

Location: 8626 Airways Blvd, Southaven, MS, 38671-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215253620
Provider Name
Anthony Jerome Wood
Credential
NCC,LPC-S
Provider Entity Type
Individual
Gender
Male
Address
8626 Airways Blvd, Southaven, MS, 38671-2603
Phone Number
662-772-5937
Fax Number
662-772-5940
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8626 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-2603
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider Business Mailing Address Details
Address
8626 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-2603
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1326 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1326 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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