Provider Demographics
NPI:1629285614
Name:PRITCHARD, JOHN HERBERT (CSAC,CCJP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HERBERT
Last Name:PRITCHARD
Suffix:
Gender:M
Credentials:CSAC,CCJP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 CARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8810
Mailing Address - Country:US
Mailing Address - Phone:828-684-5256
Mailing Address - Fax:828-684-5256
Practice Address - Street 1:140 HEALTH CARE LN
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-6350
Practice Address - Country:US
Practice Address - Phone:828-684-5256
Practice Address - Fax:828-684-5256
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2082101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)