Sandra D. Street Ma, Lpc in Wheeling - Addiction (substance Use Disorder)

Sandra D. Street Ma, Lpc - NPI 1750592903

Sandra D. Street Ma, Lpc is a Addiction (substance Use Disorder) in Wheeling, . Sandra D. Street Ma, Lpc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra D. Street Ma, Lpc is 1750592903. The last update date is 2014-03-20.

Sandra D. Street Ma, Lpc's current location address is Po Box 6101, Wheeling, . You can contact this provider via phone number 3042422817 and fax number 3042425161. The mailing address for Sandra D. Street Ma, Lpc is Po Box 6101, Wheeling, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Sandra D. Street Ma, Lpc
Address Po Box 6101, Wheeling,
Phone Number 3042422817
Fax Number 3042425161
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Street D. Sandra
Credentials MA, LPC
Telephone Number 3042422817

NPI Number Detail

NPI Number 1750592903
Provider Enumeration Date 2007-05-26
Last Updated Date 2014-03-20

Provider Mailing Address Detail

Address Po Box 6101
City Wheeling
State (WV)
Post Code 260030736
Phone Number 3042422817
Fax Number 3042425161

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 10053
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Sandra D. Street Ma, Lpc

What is the unique identifier code issued to Sandra D. Street Ma, Lpc by the Centers for Medicare & Medicaid Services?

The Sandra D. Street Ma, Lpc has been assigned the NPI (National Provider Identifier) 1750592903. 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 share the complete physical address where Sandra D. Street Ma, Lpc is geographically located?

The Sandra D. Street Ma, Lpc is physically situated at the following location: Po Box 6101, Wheeling, WV, 260030736.

What is Sandra D. Street Ma, Lpc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sandra D. Street Ma, Lpc is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750592903 to Sandra D. Street Ma, Lpc?

The Sandra D. Street Ma, Lpc received its 1750592903 assignment from the Centers for Medicare & Medicaid Services on 2007-05-26.

As of what date were the details related to Sandra D. Street Ma, Lpc most recently updated or revised?

The information pertaining to Sandra D. Street Ma, Lpc, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-20.

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