Mardi A. Geredes in San Luis Obispo - Addiction (substance Use Disorder)
Mardi A. Geredes - NPI 1194931014
Mardi A. Geredes is a Addiction (substance Use Disorder) in San Luis Obispo, California. Mardi A. Geredes practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mardi A. Geredes is 1194931014. The last update date is 2007-07-08.
Mardi A. Geredes's current location address is 2945 Mcmillan Ave, San Luis Obispo, California. You can contact this provider via phone number 8057811433 and fax number 8057811267. The mailing address for Mardi A. Geredes is 2945 Mcmillan Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mardi A. Geredes |
|---|---|
| Address | 2945 Mcmillan Ave, San Luis Obispo, California |
| Phone Number | 8057811433 |
| Fax Number | 8057811267 |
| Sole Proprietor | N |
| Credentials | MA, RRW |
NPI Number Detail
| NPI Number | 1194931014 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2945 Mcmillan Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934016766 |
| Phone Number | 8057811433 |
| Fax Number | 8057811267 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RW0886 |
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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 identifier code issued to Mardi A. Geredes by the Centers for Medicare & Medicaid Services?
The Mardi A. Geredes has been assigned the NPI (National Provider Identifier) 1194931014. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mardi A. Geredes?
The Mardi A. Geredes is situated at 2945 Mcmillan Ave, in the city of San Luis Obispo, state of CA, with the zip code 934016766.
What is Mardi A. Geredes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mardi A. Geredes is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
When did Mardi A. Geredes receive its 1194931014 assignment?
The Mardi A. Geredes was assigned its 1194931014 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mardi A. Geredes most recently updated or revised?
The details related to Mardi A. Geredes, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.