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Willie Edward

NPI 1629494463 · on the registry since 2014

Practice

Address: 1701 White St
Mccomb, MS 39648
Phone: (601) 249-4228
Fax: (601) 249-4244
Organisation at this address: Sw Ms Mental Health Mental Retardation Commission
Southwest Mississippi Mental Health Mental Retardation Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 190

Registry record

Primary taxonomy: Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi