Individual
MR. DAVID JESSE GATHRIGHT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
PHILADELPHIA VA MEDICAL CENTER, 3900 WOODLAND AVE., PHILADELPHIA,, PA 19104
(215) 823-5809
Mailing address
PHILADELPHIA VA MEDICAL CENTER, 3900 WOODLAND AVE., PHILADELPHIA,, PA 19104
(215) 823-5809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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