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John Harry, CADC-I, ICADC

NPI 1316466840 · on the registry since 2017 · sole proprietor

Practice

Address
3901 Chicot St
Pascagoula, MS 39581
Phone
(228) 762-3221
Fax
(228) 762-3202

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
251B00000X
251S00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi