John David Tate

NPI #1275802282 in North Wilkesboro, North Carolina

Provider Information

NPI Number: 1275802282
Entity Type: Individual
Name: John David Tate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 20, 2011
Last Updated: Dec 20, 2011

Practice Location

Address: 1430 WILLOW LN
Address 2: WESTPARK C61-2 N
City: North Wilkesboro
State: North Carolina
ZIP Code: 28659-3551
Phone: (704) 939-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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