person
Mrs. Janice Lee Waller, MED,CMHT
Mental Health Counselor in Pontotoc, Mississippi
NPI 1326142969

Janice Lee Waller is a Mental Health Counselor based in Oxford, MS and is specialized in Mental Health. Janice Lee Waller practices in Pontotoc, MS and has the professional credentials of MED,CMHT. The NPI Number for Janice Lee Waller is 1326142969 and holds a License No. (Mississippi).

The current practice location address for Janice Lee Waller is 339 Legion Ln, Pontotoc, MS and can be reached out via phone at 662-509-9300 and via fax at 662-509-6698.

Location: 339 Legion Ln, Pontotoc, MS, 38655-8533
person
Provider Profile Details
NPI Number
1326142969
Provider Name
Janice Lee Waller
Credential
MED,CMHT
Provider Entity Type
Individual
Gender
Female
Address
339 Legion Ln, Pontotoc, MS, 38655-8533
Phone Number
662-509-9300
Fax Number
662-509-6698
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
339 Legion Ln
City
State
Zip
38863-8978
Phone Number
662-509-9300
Fax Number
662-509-6698
person
Provider Business Mailing Address Details
Address
339 Legion Ln
City
State
Zip
38863-8978
Phone Number
662-509-9300
Fax Number
662-509-6698
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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