Rita Marie Ellington in Fairbanks - Addiction (substance Use Disorder)
Rita Marie Ellington - NPI 1952529679
Rita Marie Ellington is a Addiction (substance Use Disorder) in Fairbanks, Alaska. Rita Marie Ellington practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Rita Marie Ellington is 1952529679. The last update date is 2007-07-08.
Rita Marie Ellington's current location address is 4382 Bishop Cir, Fairbanks, Alaska. You can contact this provider via phone number 9074561523. The mailing address for Rita Marie Ellington is 4382 Bishop Cir, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rita Marie Ellington |
|---|---|
| Address | 4382 Bishop Cir, Fairbanks, Alaska |
| Phone Number | 9074561523 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D., CD |
NPI Number Detail
| NPI Number | 1952529679 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4382 Bishop Cir |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997093435 |
| Phone Number | 9074561523 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CDCS 2376 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2376 | AK | ALASKA CDCS CERTIFICATION | |
| 1116 | AK | ST ALASKA ADMIN CERT |
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What is the unique identifier code issued to Rita Marie Ellington by the Centers for Medicare & Medicaid Services (CMS)?
The Rita Marie Ellington has been assigned the NPI (National Provider Identifier) 1952529679. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Rita Marie Ellington located?
The Rita Marie Ellington is located at 4382 Bishop Cir, Fairbanks, AK 997093435.
What is Rita Marie Ellington's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rita Marie Ellington's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did Rita Marie Ellington receive its 1952529679 assignment from the Centers for Medicare & Medicaid Services?
The Rita Marie Ellington was assigned its 1952529679 on 2007-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Rita Marie Ellington most recently updated?
The details pertaining to the Rita Marie Ellington, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.