Individual
AUSTIN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
60 LYNOAK CV, SUITE C, JACKSON, TN 38305-2909
(731) 668-7593
Mailing address
6 COUNTRYSIDE DR, JACKSON, TN 38305-9682
(615) 351-5096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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