person
Willie Johnathan Wells, LPC
Professional Counselor in Southaven, Mississippi
NPI 1952772410

Willie Johnathan Wells is a Professional Counselor based in Cordova, MS and is specialized in Professional. Willie Johnathan Wells practices in Southaven, MS and has the professional credentials of LPC. The NPI Number for Willie Johnathan Wells is 1952772410 and holds a License No. 1976 (Mississippi).

The current practice location address for Willie Johnathan Wells is 6857 Cobblestone Blvd, Southaven, MS and can be reached out via phone at 662-253-8040 and via fax at 662-470-5984.

Location: 6857 Cobblestone Blvd, Southaven, MS, 38018-4233
person
Provider Profile Details
NPI Number
1952772410
Provider Name
Willie Johnathan Wells
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
6857 Cobblestone Blvd, Southaven, MS, 38018-4233
Phone Number
662-253-8040
Fax Number
662-470-5984
Provider Enumeration Date
10/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q023618 05 TN
04539260 05 MS
institution
Provider Business Practice Location Address Details
Address
6857 Cobblestone Blvd
City
State
Zip
38672-9312
Phone Number
662-253-8040
Fax Number
662-470-5984
person
Provider Business Mailing Address Details
Address
6857 Cobblestone Blvd
City
State
Zip
38672-9312
Phone Number
662-253-8040
Fax Number
662-470-5984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1976 (Mississippi)
Definition
Definition to come...
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