Provider Demographics
NPI:1003212119
Name:JAMES, JOHN-PAUL (PHD, DMIN, DACBN)
Entity Type:Individual
Prefix:DR
First Name:JOHN-PAUL
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:PHD, DMIN, DACBN
Other - Prefix:DR
Other - First Name:JOHN-PAUL
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, DMIN, DACBN
Mailing Address - Street 1:9135 PISCATAWAY RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2549
Mailing Address - Country:US
Mailing Address - Phone:240-383-4800
Mailing Address - Fax:240-846-1533
Practice Address - Street 1:2800 EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5204
Practice Address - Country:US
Practice Address - Phone:240-383-4800
Practice Address - Fax:240-846-1533
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDADT984101YA0400X
MD2180174H00000X
VA133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No174H00000XOther Service ProvidersHealth Educator