Kasondra Pritchard in Lake Elsinore - Addiction (substance Use Disorder)

Kasondra Pritchard - NPI 1952435604

Kasondra Pritchard is a Addiction (substance Use Disorder) in Lake Elsinore, California. Kasondra Pritchard practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kasondra Pritchard is 1952435604. The last update date is 2007-07-08.

Kasondra Pritchard'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 Kasondra Pritchard is 565 Chaney St, Lake Elsinore, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kasondra Pritchard
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 1952435604
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 01-910404
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kasondra Pritchard

What is the Kasondra Pritchard's unique identification number?

The Kasondra Pritchard has been assigned the NPI (National Provider Identifier) Number 1952435604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kasondra Pritchard is physically located?

The Kasondra Pritchard is physically situated at the following address: 565 Chaney St, Lake Elsinore, CA, 925302722.

What is Kasondra Pritchard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kasondra Pritchard'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 Kasondra Pritchard receive the assignment of its 1952435604 from the Centers for Medicare & Medicaid Services?

The Kasondra Pritchard was issued its 1952435604 by the Centers for Medicare & Medicaid Services on 2007-03-15.

As of what date was the information regarding Kasondra Pritchard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kasondra Pritchard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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