Provider Demographics
NPI:1851910152
Name:HARSHEY, DON J
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:J
Last Name:HARSHEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DJ
Other - Middle Name:
Other - Last Name:HARSHEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1308 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-5742
Mailing Address - Country:US
Mailing Address - Phone:575-491-7465
Mailing Address - Fax:
Practice Address - Street 1:1213 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6725
Practice Address - Country:US
Practice Address - Phone:575-491-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMH0207671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health