Individual
MS. JOHNNIE DENISE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.F.T.
Contact information
Practice address
5818 KINGS PL, JACKSON, MS 39211-3320
(601) 572-1257
Mailing address
5818 KINGS PL, JACKSON, MS 39211-3320
(601) 572-1257
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0211
MISSISSIPPI BOARD OF EXAMINERS FOR SOCIAL WORK & MARRIAGE AND FAMILY THERAPY
MS
Enumeration date
07/23/2008
Last updated
07/23/2008
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