Doctor Name: | JAMES D ATWOOD |
NPI Number: | 1528336849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., QMHP |
License Number: | |
Business Practice Address: | 348 W Adams St Burns, OR - 977201710 |
Business Phone Number: | 5415738376 |
Business Fax Number: | 5415738378 |
Mailing Address: | 348 W Adams St, BURNS |
State: | OR |
Postal Code: | 977201710 |
Phone Number: | 5415738376 |
Fax Number: | 5415738378 |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |