Individual
CALDWELL E WINSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CMHT
Contact information
Practice address
365 W REED RD, GREENVILLE, MS 38701-6967
(662) 702-5108
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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