Serena Dawn Depauw is a Counselor in Quincy, Illinois. Serena Dawn Depauw practices all healthcare services and medical treatments related to Counselor. The NPI Number for Serena Dawn Depauw is 1619168671. The last update date is 2007-08-06.
Serena Dawn Depauw'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 Serena Dawn Depauw is 4409 Maine St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serena Dawn Depauw |
|---|---|
| Address | 4409 Maine St, Quincy, Illinois |
| Phone Number | 2172230423 |
| Fax Number | 2172230461 |
| Sole Proprietor | Y |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1619168671 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2007-08-06 |
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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What is the unique identification code assigned to Serena Dawn Depauw by the Centers for Medicare & Medicaid Services?
The Serena Dawn Depauw has been issued the NPI (National Provider Identifier) 1619168671. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Serena Dawn Depauw is located?
The Serena Dawn Depauw is situated at the following address: 4409 Maine St, Quincy, IL, 623055849.
What is the Serena Dawn Depauw's specialty and taxonomy code?
The Serena Dawn Depauw's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Serena Dawn Depauw receive its 1619168671 assignment from the Centers for Medicare & Medicaid Services?
The Serena Dawn Depauw was assigned its 1619168671 by the Centers for Medicare & Medicaid Services on 2007-08-06.
When was the information pertaining to Serena Dawn Depauw most recently updated or revised?
The details related to Serena Dawn Depauw, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-06.