Charles Nathaniel Shedrick in Azusa - Addiction (substance Use Disorder)
Charles Nathaniel Shedrick - NPI 1215060009
Charles Nathaniel Shedrick is a Addiction (substance Use Disorder) in Azusa, California. Charles Nathaniel Shedrick practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charles Nathaniel Shedrick is 1215060009. The last update date is 2011-03-08.
Charles Nathaniel Shedrick's current location address is 909 N Azusa Ave, Azusa, California. You can contact this provider via phone number 8182075808. The mailing address for Charles Nathaniel Shedrick is 909 N Azusa Ave, Azusa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Nathaniel Shedrick |
|---|---|
| Address | 909 N Azusa Ave, Azusa, California |
| Phone Number | 8182075808 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | C.A.T.S. |
NPI Number Detail
| NPI Number | 1215060009 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
| Address | 909 N Azusa Ave |
|---|---|
| City | Azusa |
| State | California (CA) |
| Post Code | 917022408 |
| Phone Number | 8182075808 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 30806 |
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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 |
|---|---|---|---|
| 30806 | CA | CATC CREDENTIAL |
Post Comment/ Review Below
What is the Charles Nathaniel Shedrick's 1215060009?
The Charles Nathaniel Shedrick's NPI (National Provider Identifier) Number is 1215060009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Nathaniel Shedrick?
The Charles Nathaniel Shedrick is situated at 909 N Azusa Ave, in the city of Azusa, state of CA, with the zip code 917022408.
What is the area of specialization for Charles Nathaniel Shedrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Nathaniel Shedrick is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1215060009 assigned to Charles Nathaniel Shedrick?
The Charles Nathaniel Shedrick was issued its 1215060009 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Charles Nathaniel Shedrick most recently updated or revised?
The information pertaining to Charles Nathaniel Shedrick, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-08.