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Jerry Dean Worsham JR., LPC
Mental Health Counselor in Oxford, Mississippi
NPI 1336339498

Jerry Dean Worsham JR. is a Mental Health Counselor based in Oxford, MS and is specialized in Mental Health. Jerry Dean Worsham JR. practices in Oxford, MS and has the professional credentials of LPC. The NPI Number for Jerry Dean Worsham JR. is 1336339498 and holds a License No. 795 (Mississippi).

The current practice location address for Jerry Dean Worsham JR. is 510 Azalea Dr, Oxford, MS and can be reached out via phone at 662-513-3411.

Location: 510 Azalea Dr, Oxford, MS, 38655-8114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336339498
Provider Name
Jerry Dean Worsham JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
510 Azalea Dr, Oxford, MS, 38655-8114
Phone Number
662-513-3411
Fax Number
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Azalea Dr
City
Oxford
State
Mississippi
Zip
38655-8114
Phone Number
662-513-3411
Fax Number
person
Provider Business Mailing Address Details
Address
510 Azalea Dr
City
Oxford
State
Mississippi
Zip
38655-8114
Phone Number
662-513-3411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
795 (Mississippi)
Definition
Definition to come...
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