Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YP1600X | Pastoral Counselor |
NPI | 1285865303 |
---|---|
Provider Name | Dr. John Walter Applebach |
First Address | Pottstown, PA 19464-5621 |
Second Address | Pottstown, PA 19464-5621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 06/08/2009 |