MR. John Michael Havens, AT

NPI #1952558314 in Paragould, Arkansas

Provider Information

NPI Number: 1952558314
Entity Type: Individual
Name: MR. John Michael Havens, AT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: AT
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 1910 MOCKINGBIRD LN
Address 2: STE B & C
City: Paragould
State: Arkansas
ZIP Code: 72450-5806
Phone: (870) 240-0671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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