Keith Hardrick Vielle in Cerritos - Addiction (substance Use Disorder)

Keith Hardrick Vielle - NPI 1114101763

Keith Hardrick Vielle is a Addiction (substance Use Disorder) in Cerritos, California. Keith Hardrick Vielle practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Keith Hardrick Vielle is 1114101763. The last update date is 2023-06-07.

Keith Hardrick Vielle's current location address is 17707 Studebaker Rd, Cerritos, California. You can contact this provider via phone number 5624020677. The mailing address for Keith Hardrick Vielle is 17707 Studebaker Rd, Cerritos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Hardrick Vielle
Address 17707 Studebaker Rd, Cerritos, California
Phone Number 5624020677
Fax Number
Sole Proprietor Y
Credentials SUDCC 6465

NPI Number Detail

NPI Number 1114101763
Provider Enumeration Date 2007-12-18
Last Updated Date 2023-06-07

Provider Mailing Address Detail

Address 17707 Studebaker Rd
City Cerritos
State California (CA)
Post Code 907032640
Phone Number 5624020677
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 104185
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Keith Hardrick Vielle

What is the Keith Hardrick Vielle's unique identification number?

The Keith Hardrick Vielle has been assigned the NPI (National Provider Identifier) Number 1114101763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Keith Hardrick Vielle's physical address?

The Keith Hardrick Vielle is physically located at 17707 Studebaker Rd, in the city of Cerritos, CA, with the postal code 907032640.

What is Keith Hardrick Vielle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Keith Hardrick Vielle is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date was the 1114101763 assigned to Keith Hardrick Vielle?

The Keith Hardrick Vielle was issued its 1114101763 on 2007-12-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Keith Hardrick Vielle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Keith Hardrick Vielle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-07.

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