Individual
VENITA MARIE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CADCII
Contact information
Practice address
152 MS-7, OXFORD, MS 38655
(662) 989-4099
(662) 412-3251
Mailing address
152 MS-7, OXFORD, MS 38655
(662) 989-4099
(662) 412-3251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AD19-039W
MS
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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