Stacy Kathleen Goolsby in Sacramento - Addiction (substance Use Disorder)
Stacy Kathleen Goolsby - NPI 1336369024
Stacy Kathleen Goolsby is a Addiction (substance Use Disorder) in Sacramento, California. Stacy Kathleen Goolsby practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Stacy Kathleen Goolsby is 1336369024. The last update date is 2007-07-08.
Stacy Kathleen Goolsby's current location address is 1828 Tribute Rd, Sacramento, California. You can contact this provider via phone number 9165644400 and fax number 9165644424. The mailing address for Stacy Kathleen Goolsby is 1828 Tribute Rd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Kathleen Goolsby |
|---|---|
| Address | 1828 Tribute Rd, Sacramento, California |
| Phone Number | 9165644400 |
| Fax Number | 9165644424 |
| Sole Proprietor | N |
| Credentials | CAS 2 |
NPI Number Detail
| NPI Number | 1336369024 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1828 Tribute Rd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958154310 |
| Phone Number | 9165644400 |
| Fax Number | 9165644424 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 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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What is the unique 10-digit identification code assigned to Stacy Kathleen Goolsby by the Centers for Medicare & Medicaid Services?
The Stacy Kathleen Goolsby has been issued the NPI (National Provider Identifier) 1336369024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacy Kathleen Goolsby's physical address?
The Stacy Kathleen Goolsby is physically located at 1828 Tribute Rd, in the city of Sacramento, CA, with the postal code 958154310.
What is Stacy Kathleen Goolsby's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy Kathleen Goolsby is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When was the Stacy Kathleen Goolsby's 1336369024 issued?
The Stacy Kathleen Goolsby's 1336369024 was issued on 2007-04-26.
When was the information regarding Stacy Kathleen Goolsby most recently updated?
The details pertaining to the Stacy Kathleen Goolsby, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.