NPI 1518294149

Jimmie Musgrow, ETC

Practitioner Mental Health Counselor Apo, AP

Practice location

Address: 121 General Hospital Attn: McKt-Cs-Qm (credentials), Apo, AP 96205-5281
Phone: 82279173244
Fax: 82279178110
Mailing address: Commander, 121 Gh/Usameddac-Korea Attn: McKt-Cs-Qm (credentials), Apo, AP 96205-5281

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 4222-123 (WI)

Other Counselor providers in Armed Forces Pacific →

Registry record

NPI: 1518294149
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2009
Record last updated: 3 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.