Gwendolyn L Smith-Russell in Cheyenne - Addiction (substance Use Disorder)
Gwendolyn L Smith-Russell - NPI 1649474396
Gwendolyn L Smith-Russell is a Addiction (substance Use Disorder) in Cheyenne, . Gwendolyn L Smith-Russell practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gwendolyn L Smith-Russell is 1649474396. The last update date is 2014-08-14.
Gwendolyn L Smith-Russell's current location address is 656 Vista Ln, Cheyenne, . You can contact this provider via phone number 3072211133 and fax number 3076353965. The mailing address for Gwendolyn L Smith-Russell is 656 Vista Ln, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn L Smith-Russell |
|---|---|
| Address | 656 Vista Ln, Cheyenne, |
| Phone Number | 3072211133 |
| Fax Number | 3076353965 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1649474396 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2014-08-14 |
Provider Mailing Address Detail
| Address | 656 Vista Ln |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 820093332 |
| Phone Number | 3072211133 |
| Fax Number | 3076353965 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 147 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Gwendolyn L Smith-Russell by the Centers for Medicare & Medicaid Services?
The Gwendolyn L Smith-Russell has been issued the NPI (National Provider Identifier) 1649474396 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 Gwendolyn L Smith-Russell?
The Gwendolyn L Smith-Russell is situated at 656 Vista Ln, in the city of Cheyenne, state of WY, with the zip code 820093332.
What is Gwendolyn L Smith-Russell's area of expertise and its corresponding taxonomy classification?
The Gwendolyn L Smith-Russell's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
When was the Gwendolyn L Smith-Russell's 1649474396 issued?
The Gwendolyn L Smith-Russell's 1649474396 was issued on 2007-06-14.
When was the information regarding Gwendolyn L Smith-Russell most recently updated?
The details pertaining to the Gwendolyn L Smith-Russell, including its address, specialty, and other relevant information, were last refreshed on 2014-08-14.