Provider Demographics
NPI:1780480152
Name:PEPPER, JOSHUA F (MS, NCC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:F
Last Name:PEPPER
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15789 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:SILVERHILL
Mailing Address - State:AL
Mailing Address - Zip Code:36576-3715
Mailing Address - Country:US
Mailing Address - Phone:251-635-6561
Mailing Address - Fax:
Practice Address - Street 1:28851 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7273
Practice Address - Country:US
Practice Address - Phone:251-615-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05209101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty