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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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