Individual provider · Type 1 NPI

Staci Alys Waites, M.ED.

Professional Counselor · Oxford, MS

NPI number 1366792244 Active

Practice location

152 Highway 7 S
Oxford, MS 38655-5392

Mailing address

5617 County Road 118
Water Valley, MS 38965-4232

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1366792244

Staci Alys Waites, M.ED.'s National Provider Identifier is 1366792244, issued on Sep 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oxford, MS. The record was last updated on Feb 10, 2016.