Jeremy M. Rhoades
Mental Health Counselor in Fort Rucker, AL(View on Map)
Full Name
Jeremy Michael Rhoades
NPI Number
1568107639
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/03/2022
Specialties
(Taxonomies)Code
101YM0800X
106H00000X
101YP1600X
Primary Taxonomy
Yes
No
No
Licenses
State
Alabama
License Number
C4003A
Contact
Information
Purpose
Mailing
Location
Address
404 E SOMMER OAK DR
8939 RED CLOUD ROAD
City
Enterprise
Fort Rucker
State
AL
AL
Postal Code
36330-8558
36362
Country
US
US
Telephone Number
(808) 892-0565
(334) 255-3447
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/21/2023
Provider Address
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