Governor Gilford Jackson in Modesto - Addiction (substance Use Disorder)
Governor Gilford Jackson - NPI 1124297692
Governor Gilford Jackson is a Addiction (substance Use Disorder) in Modesto, California. Governor Gilford Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Governor Gilford Jackson is 1124297692. The last update date is 2021-10-05.
Governor Gilford Jackson's current location address is 1235 Mchenry Ave Ste A&b, Modesto, California. You can contact this provider via phone number 2095274597. The mailing address for Governor Gilford Jackson is 1235 Mchenry Ave Ste A&b, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Governor Gilford Jackson |
|---|---|
| Address | 1235 Mchenry Ave Ste A&b, Modesto, California |
| Phone Number | 2095274597 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124297692 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2021-10-05 |
Provider Mailing Address Detail
| Address | 1235 Mchenry Ave Ste A&b |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953505370 |
| Phone Number | 2095274597 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Governor Gilford Jackson by the Centers for Medicare & Medicaid Services?
The Governor Gilford Jackson has been issued the NPI (National Provider Identifier) 1124297692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Governor Gilford Jackson is physically located?
The Governor Gilford Jackson is situated at the following address: 1235 Mchenry Ave Ste A&B, Modesto, CA 953505370.
What is the Governor Gilford Jackson's area of specialization and corresponding taxonomy classification?
The Governor Gilford Jackson's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1124297692 to Governor Gilford Jackson?
The Governor Gilford Jackson received its 1124297692 assignment from the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the information regarding Governor Gilford Jackson most recently updated?
The details pertaining to the Governor Gilford Jackson, including its address, specialty, and other relevant information, were last refreshed on 2021-10-05.
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