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NPI Code Detail

MEDICARE: HAROLD RONALD FIELDS

MEDICARE:   HAROLD RONALD FIELDS
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1255039533
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD RONALD FIELDS
Provider Business Mailing Address
First Line : 6108 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3704
Country : US
Telephone Number : 215-651-7916
Fax Number :
Provider Business Practice Location Address
First Line : 6108 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3704
Country : US
Telephone Number : 215-651-7916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “ HAROLD RONALD FIELDS ” Practice Location

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