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Provider Information for 1851779284


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Mr. JAMES RICHARD MCCOMMON M.S., LPC, ALC


Other Names:  
Other Name: 
RICK MCCOMMON

Sex: Male

NPI: 1851779284
Last Updated: 2024-08-27
Certification Date: 2024-08-27

Details

NameValue
NPI1851779284
Enumeration Date2015-05-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 114 ADRIS PL STE B
DOTHAN, AL 36303-1997
United States

Phone: 334-489-5270 | Fax:
 
Primary Practice Address 114 ADRIS PL STE B
DOTHAN, AL 36303-1997
United States

Phone: 334-489-5270 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor ALALC # C2464A
Yes 101YM0800X - Counselor - Mental HealthALLPC04101