Doctor Name: | JAMES JOSEPH CONDON |
NPI Number: | 1144208679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | C004489 |
Business Practice Address: | Usnh Okinawa Fpo Ap 96362-1600 Okinawa, JAPAN - 96362 |
Business Phone Number: | 643-1680 |
Business Fax Number: | |
Mailing Address: | Psc 482 Box 2444, Fpo Ap 96362 OKINAWA |
State: | JAPAN |
Postal Code: | 96362 |
Phone Number: | 643-7680 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C004489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |