Ken Gary Dawson in Santa Rosa - Addiction (substance Use Disorder)

Ken Gary Dawson - NPI 1477758472

Ken Gary Dawson is a Addiction (substance Use Disorder) in Santa Rosa, California. Ken Gary Dawson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ken Gary Dawson is 1477758472. The last update date is 2007-07-08.

Ken Gary Dawson's current location address is 440 Arrowood Dr, Santa Rosa, California. You can contact this provider via phone number 7072842950 and fax number 7072842955. The mailing address for Ken Gary Dawson is 440 Arrowood Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ken Gary Dawson
Address 440 Arrowood Dr, Santa Rosa, California
Phone Number 7072842950
Fax Number 7072842955
Sole Proprietor N
Credentials RAS

NPI Number Detail

NPI Number 1477758472
Provider Enumeration Date 2007-06-19
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 7072842950
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 Ken Gary Dawson

What is the unique identification code assigned to Ken Gary Dawson by the Centers for Medicare & Medicaid Services?

The Ken Gary Dawson has been issued the NPI (National Provider Identifier) 1477758472. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ken Gary Dawson is located?

The Ken Gary Dawson is situated at the following address: 440 Arrowood Dr, Santa Rosa, CA, 954077503.

What is the Ken Gary Dawson's area of specialization and corresponding taxonomy classification?

The Ken Gary Dawson'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 assign the 1477758472 to Ken Gary Dawson?

The Centers for Medicare & Medicaid Services assigned the 1477758472 to Ken Gary Dawson on 2007-06-19.

As of what date were the Ken Gary Dawson's details last updated?

The information pertaining to the Ken Gary Dawson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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