Monique Duckworth in Fresno - Addiction (substance Use Disorder)
Monique Duckworth - NPI 1063628238
Monique Duckworth is a Addiction (substance Use Disorder) in Fresno, California. Monique Duckworth practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Monique Duckworth is 1063628238. The last update date is 2007-07-08.
Monique Duckworth's current location address is 7299 N Channing Way, Fresno, California. You can contact this provider via phone number 5592681466 and fax number 5592681302. The mailing address for Monique Duckworth is 7299 N Channing Way, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monique Duckworth |
|---|---|
| Address | 7299 N Channing Way, Fresno, California |
| Phone Number | 5592681466 |
| Fax Number | 5592681302 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063628238 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7299 N Channing Way |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937110487 |
| Phone Number | 5592681466 |
| Fax Number | 5592681302 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
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 |
|---|---|---|---|
| 24004AP | CA | SUBSTANCE ABUSE |
Post Comment/ Review Below
What is the unique identifier code issued to Monique Duckworth by the Centers for Medicare & Medicaid Services (CMS)?
The Monique Duckworth has been assigned the NPI (National Provider Identifier) 1063628238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Monique Duckworth is physically located?
The Monique Duckworth is physically situated at the following address: 7299 N Channing Way, Fresno, CA, 937110487.
What is the Monique Duckworth's specialty and taxonomy code?
The Monique Duckworth's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date was the 1063628238 assigned to Monique Duckworth?
The Monique Duckworth was issued its 1063628238 on 2007-05-15, 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 Monique Duckworth most recently updated or revised?
The information pertaining to Monique Duckworth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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