Jack D Mount in Lake Elsinore - Addiction (substance Use Disorder)

Jack D Mount - NPI 1942334560

Jack D Mount is a Addiction (substance Use Disorder) in Lake Elsinore, California. Jack D Mount practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jack D Mount is 1942334560. The last update date is 2007-07-08.

Jack D Mount's current location address is 565 Chaney St, Lake Elsinore, California. You can contact this provider via phone number 9516745354 and fax number 9516745227. The mailing address for Jack D Mount is 565 Chaney St, Lake Elsinore, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack D Mount
Address 565 Chaney St, Lake Elsinore, California
Phone Number 9516745354
Fax Number 9516745227
Sole Proprietor N
Credentials C.A.S.

NPI Number Detail

NPI Number 1942334560
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 565 Chaney St
City Lake Elsinore
State California (CA)
Post Code 925302722
Phone Number 9516745354
Fax Number 9516745227

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 02-025838
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jack D Mount

What is the unique 10-digit identification code issued to Jack D Mount by the Centers for Medicare & Medicaid Services?

The Jack D Mount has been assigned the NPI (National Provider Identifier) 1942334560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Jack D Mount is physically located?

The Jack D Mount is situated at the following address: 565 Chaney St, Lake Elsinore, CA 925302722.

What is Jack D Mount's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

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

When was the Jack D Mount's 1942334560 issued?

The Jack D Mount's 1942334560 was issued on 2007-03-15.

As of what date was the information pertaining to Jack D Mount, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack D Mount, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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