Doctor Name: | JOSUE NUNEZ |
NPI Number: | 1265887806 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | C009342 |
Business Practice Address: | 7510 Canvasback Ct Fort Benning, GA - 319057910 |
Business Phone Number: | 8646405348 |
Business Fax Number: | |
Mailing Address: | 7510 Canvasback Ct, FORT BENNING |
State: | GA |
Postal Code: | 319057910 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C009342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |