NPI 1326142969

Janice Lee Waller, MEDCMHT

Practitioner Mental Health Counselor Pontotoc, MS

Practice location

Address: 339 Legion Ln, Pontotoc, MS 38863-8978
Phone: (662) 509-9300
Fax: (662) 509-6698
Mailing address: 69 County Road 311, Oxford, MS 38655-8533

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Mississippi →

Registry record

NPI: 1326142969
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.