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NPI Code Detail

MEDICARE: JOHN DAVID GARRIS

MEDICARE:   JOHN DAVID GARRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1831057470
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID GARRIS
Provider Business Mailing Address
First Line : 3941 ADDISON WOODS RD
Second Line :
City : FREDERICK
State : MD
Zip : 21704-7903
Country : US
Telephone Number : 240-678-8681
Fax Number :
Provider Business Practice Location Address
First Line : 3941 ADDISON WOODS RD
Second Line :
City : FREDERICK
State : MD
Zip : 21704-7903
Country : US
Telephone Number : 240-678-8681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ JOHN DAVID GARRIS ” Practice Location

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