Individual
MR. JOHN ANTHONY CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
(662) 832-1658
(662) 620-7106
Mailing address
210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
(662) 832-1658
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05255791
—
MS
Enumeration date
09/12/2006
Last updated
06/22/2015
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