David Jack Hale, M.S.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pascagoula, MS
NPI 1952953085 · NPPES record last updated Jul 9, 2019
Key facts
- NPI
- 1952953085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4905 Telephone Rd
Pascagoula, MS 39567-1823 - Phone
- (228) 769-1280
- NPI assigned
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4905 Telephone Rd
Pascagoula, MS 39567-1823
Mailing address
3407 Shamrock CT
Gautier, MS 39553-5337
Phone (228) 497-0690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Other providers in Pascagoula, MS
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- Yolanda A Gutierrez
- Marianne B. Haas
- James H Halbrook
- Verna Halthon
- Tracey R Hammack
- Marshall Hammond
- Amanda Hanson
- Huntington T Hapworth
All providers in Pascagoula, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.