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Organization
JAMES WORTHAM COUNSELING SERVICES INC
Active
Organization
JAMES WORTHAM COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD WORTHAM (PRESIDENT DIRECTOR)
(812) 265-1663
Entity
Organization
Contact information
Practice address
2580 MICHIGAN RD, SUITE 3, MADISON, IN 47250
(812) 265-1663
(812) 273-8964
Mailing address
PO BOX 40, MADISON, IN 47250-0040
(812) 265-1663
(812) 273-8964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C474
IN
101YM0800X
Mental Health Counselor
Primary
34002443
IN
Other
Enumeration date
10/31/2006
Last updated
02/26/2008
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