Michael Henry St. Jean in Long Beach - Addiction (substance Use Disorder)

Michael Henry St. Jean - NPI 1013120351

Michael Henry St. Jean is a Addiction (substance Use Disorder) in Long Beach, California. Michael Henry St. Jean practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michael Henry St. Jean is 1013120351. The last update date is 2007-07-08.

Michael Henry St. Jean's current location address is 2525 Grand Ave, Long Beach, California. You can contact this provider via phone number 5625704100 and fax number 5625704019. The mailing address for Michael Henry St. Jean is 2525 Grand Ave, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Henry St. Jean
Address 2525 Grand Ave, Long Beach, California
Phone Number 5625704100
Fax Number 5625704019
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1013120351
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2525 Grand Ave
City Long Beach
State California (CA)
Post Code 908151765
Phone Number 5625704100
Fax Number 5625704019

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No S0412211639
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Michael Henry St. Jean

What is the unique 10-digit identification code issued to Michael Henry St. Jean by the Centers for Medicare & Medicaid Services?

The Michael Henry St. Jean has been assigned the NPI (National Provider Identifier) 1013120351 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 physical address where Michael Henry St. Jean is located?

The Michael Henry St. Jean is situated at the following address: 2525 Grand Ave, Long Beach, CA, 908151765.

What is Michael Henry St. Jean's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael Henry St. Jean's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Michael Henry St. Jean receive its 1013120351 assignment from the Centers for Medicare & Medicaid Services?

The Michael Henry St. Jean was assigned its 1013120351 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date was the information regarding Michael Henry St. Jean, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Henry St. Jean, 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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