James, John Phillip

James, John Phillip is an individual health care provider with primary practice located at 6313 Corporate Ct Ste 120 , Fort Myers FL 33919-3509. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. James, John Phillip can be contacted via phone (845) 300-4138.

Contact Information

Primary practice address
6313 Corporate Ct Ste 120 Fort Myers FL 33919-3509
Phone: (845) 300-4138
Fax: (239) 362-0710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1770986903
LBN Legal business name James, John Phillip
Credentials PHD, LMHC MH15041
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Dec 21st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770986903 NPPES
Florida Other MH15041 LICENSE NUMBER

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