Individual provider · Type 1 NPI
John David Harry, CADC-I, ICADC
Addiction (Substance Use Disorder) Counselor · Pascagoula, MS
NPI number
1316466840
Active
Practice location
3901 Chicot St
Pascagoula, MS 39581-4320
Fax (228) 762-3202
Mailing address
2033 Bass Dr
Vancleave, MS 39565-8491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AD10-034H (MS) |
| Case Management Agency | 251B00000X | AD10-034H (MS) |
| Community/Behavioral Health Agency | 251S00000X | AD10-034H (MS) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AD10-034H (MS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316466840
John David Harry, CADC-I, ICADC's National Provider Identifier is 1316466840, issued on Sep 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pascagoula, MS. The record was last updated on Sep 15, 2017.