John Benjamin David Tatum
Pastoral Counselor
99 Dawson Avenue Back Door @ Top Of W/c Ramp
Mansfield
, Ohio 44906-3201
John Benjamin David Tatum
Pastoral Counselor
99 Dawson Avenue Back Door @ Top Of W/c Ramp
Mansfield
, Ohio 44906-3201
(419) 524-8337
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- John Benjamin David Tatum
- 99 Dawson Avenue Back Door @ Top Of W/c Ramp
- Mansfield, OH
- Zip : 44906-3201
- Phone : (419) 524-8337
Second Address
- John Benjamin David Tatum
- 99 Dawson Avenue Back Door @ Top Of W/c Ramp
- Mansfield, OH
- Zip : 44906-3201
- Phone : (419) 524-8337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1174081095 |
|---|---|
| Provider Name | John Benjamin David Tatum |
| First Address | Mansfield, OH 44906-3201 |
| Second Address | Mansfield, OH 44906-3201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.