Individual
CHARLES PATRICK WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P-LPC
Contact information
Practice address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 709-7714
Mailing address
507 HERITAGE DR STE 102, OXFORD, MS 38655-5571
(662) 709-7714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0549
MS
106H00000X
Marriage & Family Therapist
P-0549
MS
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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