Individual
ALISHA RENADA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCMHT
Contact information
Practice address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
Mailing address
304 SANCTIFIED RD, MORTON, MS 39117-9367
(601) 697-2196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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