Worsham, Jerry Dean

Worsham, Jerry Dean is an individual health care provider with primary practice located at 510 Azalea Dr , Oxford MS 38655-8114. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Worsham, Jerry Dean can be contacted via phone (662) 513-3411.

Contact Information

Primary practice address
510 Azalea Dr Oxford MS 38655-8114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 795 Mississippi

Profile Details

NPI number 1336339498
LBN Legal business name Worsham, Jerry Dean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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