Individual
MR. JAMES MIKE WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
REGION III MENTAL HEALTH CENTER, 2434 SOUTH EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
PO BOX 1363, CALHOUN CITY, MS 38916
(662) 628-4595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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