JERRY DEAN WORSHAM LPC NPI 1336339498

NPI Information

NPI: 1336339498
Provider Name: JERRY DEAN WORSHAM, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
510 AZALEA DR
OXFORD, MS
ZIP 38655
Phone: (662) 513-3411
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Jerry Dean Worsham, LPC is a mental health counselor in Oxford, MS. Jerry Dean Worsham, LPC NPI is 1336339498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 AZALEA DR
OXFORD, MS
ZIP 38655-114
Phone: (662) 513-3411

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	795	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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