Tracy Childers in Long Beach - Addiction (substance Use Disorder)

Tracy Childers - NPI 1073786851

Tracy Childers is a Addiction (substance Use Disorder) in Long Beach, California. Tracy Childers practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tracy Childers is 1073786851. The last update date is 2008-04-11.

Tracy Childers's current location address is 944 Pacific Ave, Long Beach, California. You can contact this provider via phone number 5624363533. The mailing address for Tracy Childers is 944 Pacific Ave, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Childers
Address 944 Pacific Ave, Long Beach, California
Phone Number 5624363533
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1073786851
Provider Enumeration Date 2008-04-11
Last Updated Date 2008-04-11

Provider Mailing Address Detail

Address 944 Pacific Ave
City Long Beach
State California (CA)
Post Code 908134228
Phone Number 5624363533
Fax Number

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7006 CA --

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FAQs about Tracy Childers

What is the unique 10-digit identification code assigned to Tracy Childers by the Centers for Medicare & Medicaid Services?

The Tracy Childers has been issued the NPI (National Provider Identifier) 1073786851, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Tracy Childers's physical address?

The Tracy Childers is physically located at 944 Pacific Ave, in the city of Long Beach, CA, with the postal code 908134228.

What is Tracy Childers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

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

When was the Tracy Childers's 1073786851 issued?

The Tracy Childers's 1073786851 was issued on 2008-04-11.

When was the information regarding Tracy Childers, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tracy Childers, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-11.

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