James Reilly Wareham in San Diego - Counselor
James Reilly Wareham - NPI 1114115318
James Reilly Wareham is a Counselor in San Diego, California. James Reilly Wareham practices all healthcare services and medical treatments related to Counselor. The NPI Number for James Reilly Wareham is 1114115318. The last update date is 2007-10-12.
James Reilly Wareham's current location address is 2535 Kettner Blvd, San Diego, California. You can contact this provider via phone number 6196150701 and fax number 6196150705. The mailing address for James Reilly Wareham is 2535 Kettner Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Reilly Wareham |
|---|---|
| Address | 2535 Kettner Blvd, San Diego, California |
| Phone Number | 6196150701 |
| Fax Number | 6196150705 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114115318 |
|---|---|
| Provider Enumeration Date | 2007-10-12 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 2535 Kettner Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921011250 |
| Phone Number | 6196150701 |
| Fax Number | 6196150705 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique identifier code issued to James Reilly Wareham by the Centers for Medicare & Medicaid Services?
The James Reilly Wareham has been assigned the NPI (National Provider Identifier) 1114115318. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of James Reilly Wareham?
The James Reilly Wareham is physically situated at 2535 Kettner Blvd, in the city of San Diego, state of CA, with the postal code 921011250.
What is the James Reilly Wareham's specialty and taxonomy code?
The James Reilly Wareham's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
When was the James Reilly Wareham's 1114115318 issued?
The James Reilly Wareham's 1114115318 was issued on 2007-10-12.
When was the information regarding James Reilly Wareham most recently updated?
The details pertaining to the James Reilly Wareham, including its address, specialty, and other relevant information, were last refreshed on 2007-10-12.