Evelyn Terry Wicks in Auburn - Addiction (substance Use Disorder)
Evelyn Terry Wicks - NPI 1427211465
Evelyn Terry Wicks is a Addiction (substance Use Disorder) in Auburn, California. Evelyn Terry Wicks practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Evelyn Terry Wicks is 1427211465. The last update date is 2008-07-09.
Evelyn Terry Wicks's current location address is 11960 Heritage Oak Pl, Auburn, California. You can contact this provider via phone number 5308851961 and fax number 5308850713. The mailing address for Evelyn Terry Wicks is 11960 Heritage Oak Pl, Auburn, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Terry Wicks |
|---|---|
| Address | 11960 Heritage Oak Pl, Auburn, California |
| Phone Number | 5308851961 |
| Fax Number | 5308850713 |
| Sole Proprietor | Y |
| Credentials | DUI |
NPI Number Detail
| NPI Number | 1427211465 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 11960 Heritage Oak Pl |
|---|---|
| City | Auburn |
| State | California (CA) |
| Post Code | 956032401 |
| Phone Number | 5308851961 |
| Fax Number | 5308850713 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | W0408271744 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Evelyn Terry Wicks by the Centers for Medicare & Medicaid Services?
The Evelyn Terry Wicks has been assigned the NPI (National Provider Identifier) 1427211465 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Evelyn Terry Wicks's physical address?
The Evelyn Terry Wicks is physically located at 11960 Heritage Oak Pl, in the city of Auburn, CA, with the postal code 956032401.
What is Evelyn Terry Wicks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evelyn Terry Wicks is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did Evelyn Terry Wicks receive its 1427211465 assignment from the Centers for Medicare & Medicaid Services?
The Evelyn Terry Wicks was assigned its 1427211465 on 2008-07-09, 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 Evelyn Terry Wicks's details last updated?
The information pertaining to the Evelyn Terry Wicks, including its address, specialty, and other details, was most recently updated on 2008-07-09.