Jean Ronelle Callihan in Show Low - Addiction (substance Use Disorder)

Jean Ronelle Callihan - NPI 1740344993

Jean Ronelle Callihan is a Addiction (substance Use Disorder) in Show Low, Arizona. Jean Ronelle Callihan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jean Ronelle Callihan is 1740344993. The last update date is 2009-09-25.

Jean Ronelle Callihan's current location address is 2500 E Show Low Lake Rd, Show Low, Arizona. You can contact this provider via phone number 9285372951 and fax number 9285374841. The mailing address for Jean Ronelle Callihan is 2500 E Show Low Lake Rd, Show Low, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean Ronelle Callihan
Address 2500 E Show Low Lake Rd, Show Low, Arizona
Phone Number 9285372951
Fax Number 9285374841
Sole Proprietor N
Credentials LMFT, LISA

NPI Number Detail

NPI Number 1740344993
Provider Enumeration Date 2006-12-21
Last Updated Date 2009-09-25

Provider Mailing Address Detail

Address 2500 E Show Low Lake Rd
City Show Low
State Arizona (AZ)
Post Code 859017929
Phone Number 9285372951
Fax Number 9285374841

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LISAC-10760
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
919087 AZ --

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FAQs about Jean Ronelle Callihan

What is the unique 10-digit identifier code assigned to Jean Ronelle Callihan by the Centers for Medicare & Medicaid Services?

The Jean Ronelle Callihan has been issued the NPI (National Provider Identifier) 1740344993 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jean Ronelle Callihan?

The Jean Ronelle Callihan is situated at 2500 E Show Low Lake Rd, in the city of Show Low, state of AZ, with the zip code 859017929.

What is the Jean Ronelle Callihan's area of specialization and corresponding taxonomy classification?

The Jean Ronelle Callihan's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date was the 1740344993 assigned to Jean Ronelle Callihan?

The Jean Ronelle Callihan was issued its 1740344993 on 2006-12-21, 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 Jean Ronelle Callihan most recently updated or refreshed?

The details pertaining to the Jean Ronelle Callihan, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-25.

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