Deron Mason Haskins in Long Beach - Addiction (substance Use Disorder)
Deron Mason Haskins - NPI 1689719965
Deron Mason Haskins is a Addiction (substance Use Disorder) in Long Beach, California. Deron Mason Haskins practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Deron Mason Haskins is 1689719965. The last update date is 2007-07-08.
Deron Mason Haskins's current location address is 100 E Wardlow Rd, Long Beach, California. You can contact this provider via phone number 5624276818. The mailing address for Deron Mason Haskins is 100 E Wardlow Rd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deron Mason Haskins |
|---|---|
| Address | 100 E Wardlow Rd, Long Beach, California |
| Phone Number | 5624276818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.A., R.A. |
NPI Number Detail
| NPI Number | 1689719965 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 E Wardlow Rd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908074417 |
| Phone Number | 5624276818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CERT# H04122 |
|
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 |
|---|---|---|---|
| 23706 | CA | DV COUNSELOR | |
| H0412241242 | CA | REGISTERED ADDICTION SPEC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Deron Mason Haskins by the Centers for Medicare & Medicaid Services?
The Deron Mason Haskins has been issued the NPI (National Provider Identifier) 1689719965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Deron Mason Haskins is located?
The Deron Mason Haskins is situated at the following address: 100 E Wardlow Rd, Long Beach, CA, 908074417.
What is Deron Mason Haskins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Deron Mason Haskins's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Deron Mason Haskins receive its 1689719965 assignment from the Centers for Medicare & Medicaid Services?
The Deron Mason Haskins was assigned its 1689719965 by the Centers for Medicare & Medicaid Services on 2007-02-21.
When was the Deron Mason Haskins's information last updated?
The Deron Mason Haskins's information was last updated on 2007-07-08.