Individual
JOSHUA MCDADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAT
Contact information
Practice address
217 DEWEY ST, COLUMBIA, MS 39429-2751
(601) 736-6799
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
145
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
145
MS
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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