Individual provider · Type 1 NPI

James Mike Wortham, BA

Mental Health Counselor · Tupelo, MS

NPI number 1629169933 Active

Practice location

Region III Mental Health Center, 2434 South Eason Blvd
Tupelo, MS 38804-6942

Call (662) 844-1717 Map

Fax (662) 680-6416

Mailing address

PO Box 1363
Calhoun City, MS 38916

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629169933

James Mike Wortham, BA's National Provider Identifier is 1629169933, issued on Sep 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Jul 8, 2007.