Harry, John David

Harry, John David is an sole proprietor health care provider with primary practice located at 3901 Chicot St , Pascagoula MS 39581-4320. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Harry, John David can be contacted via phone (228) 762-3221.

Contact Information

Primary practice address
3901 Chicot St Pascagoula MS 39581-4320
Phone: (228) 762-3221
Fax: (228) 762-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X AD10-034H Mississippi
Agencies / Case Management 251B00000X AD10-034H Mississippi
Agencies / Community/Behavioral Health 251S00000X AD10-034H Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AD10-034H Mississippi

Profile Details

NPI number 1316466840
LBN Legal business name Harry, John David
Credentials CADC-I, ICADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2017
Last updated Sep 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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