Juantario Badon, PCMHT Valid NPI
Individual provider · Counselor · Summit, MS
- NPI
- 1265217939
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 6025 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
Practice location
301 Robb St
Summit, MS 39666-7053
(769) 217-2810