Provider Demographics
NPI:1942378195
Name:WARD, JAMES C (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:WARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732-0080
Mailing Address - Country:US
Mailing Address - Phone:205-317-5289
Mailing Address - Fax:334-289-2416
Practice Address - Street 1:1215 S WALNUT AVE
Practice Address - Street 2:
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-3615
Practice Address - Country:US
Practice Address - Phone:334-289-2410
Practice Address - Fax:334-289-2416
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2278101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)