Individual
MRS. JENEVIEVE LYNN WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
2375 MEMPHIS ST, HERNANDO, MS 38632-1756
(662) 506-3836
(662) 200-5976
Mailing address
657 DOE CREEK TRL N, HERNANDO, MS 38632-5018
(704) 231-4215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12683
NC
101YM0800X
Mental Health Counselor
Primary
2757
MS
Other
Enumeration date
05/17/2007
Last updated
01/18/2024
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