Glenn Dale Paulson in Santa Rosa - Addiction (substance Use Disorder)

Glenn Dale Paulson - NPI 1750582615

Glenn Dale Paulson is a Addiction (substance Use Disorder) in Santa Rosa, California. Glenn Dale Paulson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Glenn Dale Paulson is 1750582615. The last update date is 2007-07-08.

Glenn Dale Paulson's current location address is 440 Arrowood Dr, Santa Rosa, California. You can contact this provider via phone number 7072842955 and fax number 7072842955. The mailing address for Glenn Dale Paulson is 440 Arrowood Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Dale Paulson
Address 440 Arrowood Dr, Santa Rosa, California
Phone Number 7072842955
Fax Number 7072842955
Sole Proprietor N
Credentials RASI

NPI Number Detail

NPI Number 1750582615
Provider Enumeration Date 2007-05-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 440 Arrowood Dr
City Santa Rosa
State California (CA)
Post Code 954077503
Phone Number 7072842955
Fax Number 7072842955

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.

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FAQs about Glenn Dale Paulson

What is the unique identification code assigned to Glenn Dale Paulson by the Centers for Medicare & Medicaid Services?

The Glenn Dale Paulson has been issued the NPI (National Provider Identifier) 1750582615. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Glenn Dale Paulson's facilities are geographically located?

The facilities of Glenn Dale Paulson are physically situated at the following location: 440 Arrowood Dr, Santa Rosa, CA, 954077503.

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

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

On what date did the Glenn Dale Paulson receive the assignment of its 1750582615 from the Centers for Medicare & Medicaid Services?

The Glenn Dale Paulson was issued its 1750582615 by the Centers for Medicare & Medicaid Services on 2007-05-29.

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

The information pertaining to Glenn Dale Paulson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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