MRS. Janice Lee Waller, MED, CMHT
NPI #1326142969 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1326142969
- Entity Type
- Individual
- Name
- MRS. Janice Lee Waller, MED, CMHT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MED, CMHT
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 339 LEGION LN
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-8978
- Phone
- (662) 509-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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