Jarred Breck Mauck is a Counselor in Quincy, Illinois. Jarred Breck Mauck practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jarred Breck Mauck is 1912001546. The last update date is 2007-07-08.
Jarred Breck Mauck's current location address is 4409 Maine St, Quincy, Illinois. You can contact this provider via phone number 2172230423 and fax number 2172230461. The mailing address for Jarred Breck Mauck is 4409 Maine St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jarred Breck Mauck |
|---|---|
| Address | 4409 Maine St, Quincy, Illinois |
| Phone Number | 2172230423 |
| Fax Number | 2172230461 |
| Sole Proprietor | N |
| Credentials | BA,MHP |
NPI Number Detail
| NPI Number | 1912001546 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4409 Maine St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623055849 |
| Phone Number | 2172230423 |
| Fax Number | 2172230461 |
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 10-digit identifier code assigned to Jarred Breck Mauck by the Centers for Medicare & Medicaid Services?
The Jarred Breck Mauck has been issued the NPI (National Provider Identifier) 1912001546 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jarred Breck Mauck?
The Jarred Breck Mauck is situated at 4409 Maine St, in the city of Quincy, state of IL, with the zip code 623055849.
What is the Jarred Breck Mauck's specialty and taxonomy code?
The Jarred Breck Mauck's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Jarred Breck Mauck receive the assignment of its 1912001546 from the Centers for Medicare & Medicaid Services?
The Jarred Breck Mauck was issued its 1912001546 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the information regarding Jarred Breck Mauck, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jarred Breck Mauck, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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