Provider Demographics
NPI:1427202613
Name:WARE, JOANNA FITTS (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:FITTS
Last Name:WARE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 11TH AVE S
Mailing Address - Street 2:SUITE 325
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2823
Mailing Address - Country:US
Mailing Address - Phone:205-542-5683
Mailing Address - Fax:
Practice Address - Street 1:2112 11TH AVE S
Practice Address - Street 2:SUITE 325
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2823
Practice Address - Country:US
Practice Address - Phone:205-542-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2626101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional