| James Wortham Counseling Services Inc | |
|
2580 Michigan Rd Suite 3 Madison IN 47250 | |
| (812) 265-1663 | |
| (812) 273-8964 |
| Full Name | James Wortham Counseling Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2580 Michigan Rd, Madison, Indiana |
| Authorized Official Name and Position | James Edward Wortham (PRESIDENT DIRECTOR) |
| Authorized Official Contact | 8122651663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Wortham Counseling Services Inc Po Box 40 Madison IN 47250-0040 Ph: (812) 265-1663 | James Wortham Counseling Services Inc 2580 Michigan Rd Suite 3 Madison IN 47250 Ph: (812) 265-1663 |
| NPI Number | 1366528556 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366528556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C474 (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 34002443 (Indiana) | Primary |
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