CHRISITAN WARE

JACKSON, MS
NPI1245616556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MS  1382)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
MR. CHRISITAN WARE
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 601-352-7784
Mailing Address
MR. CHRISITAN WARE
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 601-352-7784