Jacquelyn Dearth in Parker - Addiction (substance Use Disorder)
Jacquelyn Dearth - NPI 1285672212
Jacquelyn Dearth is a Addiction (substance Use Disorder) in Parker, Arizona. Jacquelyn Dearth practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacquelyn Dearth is 1285672212. The last update date is 2008-06-02.
Jacquelyn Dearth's current location address is 1017 S Laguna Ave, Parker, Arizona. You can contact this provider via phone number 9286696906. The mailing address for Jacquelyn Dearth is 1017 S Laguna Ave, Parker, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Dearth |
|---|---|
| Address | 1017 S Laguna Ave, Parker, Arizona |
| Phone Number | 9286696906 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285672212 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 1017 S Laguna Ave |
|---|---|
| City | Parker |
| State | Arizona (AZ) |
| Post Code | 853444945 |
| Phone Number | 9286696906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LISAC-10730 |
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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 |
|---|---|---|---|
| 872722 | AZ | AHCCCS # |
Post Comment/ Review Below
What is the Jacquelyn Dearth's unique identification number?
The Jacquelyn Dearth has been assigned the NPI (National Provider Identifier) Number 1285672212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jacquelyn Dearth's facilities are situated?
The facilities of Jacquelyn Dearth are physically located at the following address: 1017 S Laguna Ave, Parker, AZ, 853444945.
What is Jacquelyn Dearth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacquelyn Dearth'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 was the 1285672212 assigned to Jacquelyn Dearth?
The Jacquelyn Dearth was issued its 1285672212 on 2006-06-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jacquelyn Dearth most recently updated or refreshed?
The details pertaining to the Jacquelyn Dearth, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-02.