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NPI Code Detail

MEDICARE: MR. JOHN T MCDANAL M.ED., ALC, NCC

MEDICARE: MR. JOHN T MCDANAL M.ED., ALC, NCC
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 CounselorC2789AAL

General Provider Information

NPI Number : 1891251070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN T MCDANAL M.ED., ALC, NCC
Provider Business Mailing Address
First Line : 5104 WEATHERFORD DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-3258
Country : US
Telephone Number : 205-240-3997
Fax Number :
Provider Business Practice Location Address
First Line : 3 OFFICE PARK CIR STE 105
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2534
Country : US
Telephone Number : 205-240-3997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2019
Last Update Date : 02/13/2019

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