Ieashia Wooten, MHPP

NPI #1780916064 in Camden, Arkansas

Provider Information

NPI Number: 1780916064
Entity Type: Individual
Name: Ieashia Wooten, MHPP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MHPP
Enumeration Date: Feb 11, 2010
Last Updated: Feb 11, 2010

Practice Location

Address: 115 JEFFERSON ST SW
City: Camden
State: Arkansas
ZIP Code: 71701-3945
Phone: (870) 836-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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