Individual
JAMES ROBERT WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2400 POPLAR AVE, MEMPHIS, TN 38112-3213
(901) 206-2222
(901) 206-2223
Mailing address
10412 TWISTING PINE LN, LAKELAND, TN 38002-4685
(901) 275-5797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P0702011
AR
101YP2500X
Professional Counselor
Primary
LPC0000003426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC0000003426
TN LICENSE NUMBER
TN
01
—
P0702011
AR LICENSE
AR
Enumeration date
11/15/2012
Last updated
08/19/2015
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