Dana Monique Otis in Antioch - Addiction (substance Use Disorder)

Dana Monique Otis - NPI 1053451740

Dana Monique Otis is a Addiction (substance Use Disorder) in Antioch, California. Dana Monique Otis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dana Monique Otis is 1053451740. The last update date is 2007-07-08.

Dana Monique Otis's current location address is 3707 Sunset Ln, Antioch, California. You can contact this provider via phone number 9255220124 and fax number 9255220133. The mailing address for Dana Monique Otis is 3707 Sunset Ln, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana Monique Otis
Address 3707 Sunset Ln, Antioch, California
Phone Number 9255220124
Fax Number 9255220133
Sole Proprietor N
Credentials CAARR

NPI Number Detail

NPI Number 1053451740
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3707 Sunset Ln
City Antioch
State California (CA)
Post Code 945096101
Phone Number 9255220124
Fax Number 9255220133

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 03-037293
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Dana Monique Otis

What is the unique 10-digit identification code issued to Dana Monique Otis by the Centers for Medicare & Medicaid Services?

The Dana Monique Otis has been assigned the NPI (National Provider Identifier) 1053451740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Dana Monique Otis is physically located?

The Dana Monique Otis is situated at the following address: 3707 Sunset Ln, Antioch, CA 945096101.

What is Dana Monique Otis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dana Monique Otis is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Dana Monique Otis receive its 1053451740 assignment from the Centers for Medicare & Medicaid Services?

The Dana Monique Otis was assigned its 1053451740 by the Centers for Medicare & Medicaid Services on 2007-02-08.

When was the information regarding Dana Monique Otis most recently updated?

The details pertaining to the Dana Monique Otis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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