Individual provider · Type 1 NPI

John Benjamin David Tatum, DD PHD

Pastoral Counselor · Mansfield, OH

NPI number 1174081095 Active

Practice location

99 Dawson Avenue, Back Door @ Top Of W/c Ramp
Mansfield, OH 44906-3201

Specialties and licenses

TaxonomyCodeLicense
Personal Emergency Response Attendant 146D00000XNone listed
Meals Provider 174200000XNone listed
Lodging Provider 177F00000XNone listed
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Private Vehicle 347C00000XNone listed
Religious Nonmedical Practitioner 374K00000XNone listed
Homemaker 376J00000XNone listed
Pastoral Counselor Primary 101YP1600XNone listed

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About NPI 1174081095

John Benjamin David Tatum, DD PHD's National Provider Identifier is 1174081095, issued on Mar 10, 2019. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Mansfield, OH. The record was last updated on Mar 10, 2019.