Individual provider · Type 1 NPI

Willie Edward

Addiction (Substance Use Disorder) Counselor · Mccomb, MS

NPI number 1629494463 Active

Practice location

1701 White St
Mccomb, MS 39648-2711

Call (601) 249-4228 Map

Fax (601) 249-4244

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0152 (MS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629494463

Willie Edward's National Provider Identifier is 1629494463, issued on Mar 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mccomb, MS. The record was last updated on Mar 17, 2014.