Provider Demographics
NPI:1144208679
Name:CONDON, JAMES JOSEPH JR (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:CONDON
Suffix:JR
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 482 BOX 2444
Mailing Address - Street 2:FPO AP 96362
Mailing Address - City:OKINAWA
Mailing Address - State:JAPAN
Mailing Address - Zip Code:96362
Mailing Address - Country:JP
Mailing Address - Phone:643-7680
Mailing Address - Fax:
Practice Address - Street 1:USNH OKINAWA
Practice Address - Street 2:FPO AP 96362-1600
Practice Address - City:OKINAWA
Practice Address - State:JAPAN
Practice Address - Zip Code:96362
Practice Address - Country:JP
Practice Address - Phone:643-1680
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health