Stephanie Ann Bloesch in San Rafael - Addiction (substance Use Disorder)
Stephanie Ann Bloesch - NPI 1932267366
Stephanie Ann Bloesch is a Addiction (substance Use Disorder) in San Rafael, California. Stephanie Ann Bloesch practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Stephanie Ann Bloesch is 1932267366. The last update date is 2010-06-03.
Stephanie Ann Bloesch's current location address is 171 Carlos Dr, San Rafael, California. You can contact this provider via phone number 4157552310 and fax number 4157552210. The mailing address for Stephanie Ann Bloesch is 171 Carlos Dr, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Ann Bloesch |
|---|---|
| Address | 171 Carlos Dr, San Rafael, California |
| Phone Number | 4157552310 |
| Fax Number | 4157552210 |
| Sole Proprietor | N |
| Credentials | M.F.T. |
NPI Number Detail
| NPI Number | 1932267366 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2010-06-03 |
Provider Mailing Address Detail
| Address | 171 Carlos Dr |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949032005 |
| Phone Number | 4157552310 |
| Fax Number | 4157552210 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | MFC 41505 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2109 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephanie Ann Bloesch by the Centers for Medicare & Medicaid Services?
The Stephanie Ann Bloesch has been assigned the NPI (National Provider Identifier) 1932267366 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stephanie Ann Bloesch's facilities are situated?
The facilities of Stephanie Ann Bloesch are physically located at the following address: 171 Carlos Dr, San Rafael, CA, 949032005.
What is Stephanie Ann Bloesch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie Ann Bloesch is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Stephanie Ann Bloesch receive the assignment of its 1932267366 from the Centers for Medicare & Medicaid Services?
The Stephanie Ann Bloesch was issued its 1932267366 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information regarding Stephanie Ann Bloesch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephanie Ann Bloesch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-03.