Suzanne Mae Connolly in Sedona - Addiction (substance Use Disorder)

Suzanne Mae Connolly - NPI 1033224423

Suzanne Mae Connolly is a Addiction (substance Use Disorder) in Sedona, Arizona. Suzanne Mae Connolly practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Suzanne Mae Connolly is 1033224423. The last update date is 2016-07-13.

Suzanne Mae Connolly's current location address is 70 Payne Place, Sedona, Arizona. You can contact this provider via phone number 9282822627 and fax number 9282820121. The mailing address for Suzanne Mae Connolly is 70 Payne Place, Sedona, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzanne Mae Connolly
Address 70 Payne Place, Sedona, Arizona
Phone Number 9282822627
Fax Number 9282820121
Sole Proprietor Y
Credentials LCSW MSW

NPI Number Detail

NPI Number 1033224423
Provider Enumeration Date 2006-08-19
Last Updated Date 2016-07-13

Provider Mailing Address Detail

Address 70 Payne Place
City Sedona
State Arizona (AZ)
Post Code 863364536
Phone Number 9282822627
Fax Number 9282820121

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LISAC0022
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LMFT-0145 AZ STATE LICENSE
LISAC-0022 AZ STATE LICENSURE
LCSW-1454 AZ STATE LICENSE

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FAQs about Suzanne Mae Connolly

What is the unique 10-digit identification code issued to Suzanne Mae Connolly by the Centers for Medicare & Medicaid Services?

The Suzanne Mae Connolly has been assigned the NPI (National Provider Identifier) 1033224423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Suzanne Mae Connolly's physical address?

The Suzanne Mae Connolly is physically located at 70 Payne Place, in the city of Sedona, AZ, with the postal code 863364536.

What is Suzanne Mae Connolly's area of expertise and its corresponding taxonomy classification?

The Suzanne Mae Connolly'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.

On what date did the Suzanne Mae Connolly receive the assignment of its 1033224423 from the Centers for Medicare & Medicaid Services?

The Suzanne Mae Connolly was issued its 1033224423 by the Centers for Medicare & Medicaid Services on 2006-08-19.

As of what date was the information regarding Suzanne Mae Connolly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Suzanne Mae Connolly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-13.

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