person
Willie Edward
Addiction (Substance Use Disorder) Counselor in Mccomb, Mississippi
NPI 1629494463

Willie Edward is an Addiction (Substance Use Disorder) Counselor based in Mccomb, MS and is specialized in Addiction (Substance Use Disorder). Willie Edward practices in Mccomb, MS. The NPI Number for Willie Edward is 1629494463 and holds a License No. 0152 (Mississippi).

The current practice location address for Willie Edward is 1701 White St, Mccomb, MS and can be reached out via phone at 601-249-4228 and via fax at 601-249-4244. You can also correspond with Willie Edward through the mailing address at 1701 WHITE ST, MCCOMB, MS - 39648-2711 (mailing address contact number: 601-249-4228).

Location: 1701 White St, Mccomb, MS, 39648-2711
person
Provider Profile Details
NPI Number
1629494463
Provider Name
Willie Edward
Credential
Provider Entity Type
Individual
Gender
Male
Address
1701 White St, Mccomb, MS, 39648-2711
Phone Number
601-249-4228
Fax Number
601-249-4244
Provider Enumeration Date
03/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1701 White St
City
State
Zip
39648-2711
Phone Number
601-249-4228
Fax Number
601-249-4244
person
Provider Business Mailing Address Details
Address
1701 White St
City
State
Zip
39648-2711
Phone Number
601-249-4228
Fax Number
601-249-4244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0152 (Mississippi)
Definition
Definition to come...
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