Evelyn Louise Clough in Soldotna - Addiction (substance Use Disorder)
Evelyn Louise Clough - NPI 1124092655
Evelyn Louise Clough is a Addiction (substance Use Disorder) in Soldotna, Alaska. Evelyn Louise Clough practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Evelyn Louise Clough is 1124092655. The last update date is 2010-06-08.
Evelyn Louise Clough's current location address is Po Box 1015, Soldotna, Alaska. You can contact this provider via phone number 9072625324 and fax number 9072607464. The mailing address for Evelyn Louise Clough is Po Box 1015, Soldotna, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Louise Clough |
|---|---|
| Address | Po Box 1015, Soldotna, Alaska |
| Phone Number | 9072625324 |
| Fax Number | 9072607464 |
| Sole Proprietor | Y |
| Credentials | ANP, CDCII |
NPI Number Detail
| NPI Number | 1124092655 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2010-06-08 |
Provider Mailing Address Detail
| Address | Po Box 1015 |
|---|---|
| City | Soldotna |
| State | Alaska (AK) |
| Post Code | 996691015 |
| Phone Number | 9072625324 |
| Fax Number | 9072607464 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1091 |
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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 |
|---|---|---|---|
| NP4248 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evelyn Louise Clough by the Centers for Medicare & Medicaid Services?
The Evelyn Louise Clough has been issued the NPI (National Provider Identifier) 1124092655. 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 address where Evelyn Louise Clough is physically located?
The Evelyn Louise Clough is situated at the following address: Po Box 1015, Soldotna, AK 996691015.
What is Evelyn Louise Clough's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evelyn Louise Clough is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did Evelyn Louise Clough receive its 1124092655 assignment from the Centers for Medicare & Medicaid Services?
The Evelyn Louise Clough was assigned its 1124092655 on 2006-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Evelyn Louise Clough most recently updated or revised?
The information pertaining to Evelyn Louise Clough, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-08.