Jerett Lewis Diamond in South Lake Tahoe - Addiction (substance Use Disorder)
Jerett Lewis Diamond - NPI 1356521934
Jerett Lewis Diamond is a Addiction (substance Use Disorder) in South Lake Tahoe, California. Jerett Lewis Diamond practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jerett Lewis Diamond is 1356521934. The last update date is 2007-11-12.
Jerett Lewis Diamond's current location address is 1137 Emerald Bay Rd, South Lake Tahoe, California. You can contact this provider via phone number 5305415190 and fax number 5305416031. The mailing address for Jerett Lewis Diamond is 1137 Emerald Bay Rd, South Lake Tahoe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerett Lewis Diamond |
|---|---|
| Address | 1137 Emerald Bay Rd, South Lake Tahoe, California |
| Phone Number | 5305415190 |
| Fax Number | 5305416031 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356521934 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 1137 Emerald Bay Rd |
|---|---|
| City | South Lake Tahoe |
| State | California (CA) |
| Post Code | 961506207 |
| Phone Number | 5305415190 |
| Fax Number | 5305416031 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 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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Post Comment/ Review Below
What is the unique identification code assigned to Jerett Lewis Diamond by the Centers for Medicare & Medicaid Services?
The Jerett Lewis Diamond has been issued the NPI (National Provider Identifier) 1356521934. 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 Jerett Lewis Diamond's facilities are geographically located?
The facilities of Jerett Lewis Diamond are physically situated at the following location: 1137 Emerald Bay Rd, South Lake Tahoe, CA, 961506207.
What is the Jerett Lewis Diamond's specialty and taxonomy code?
The Jerett Lewis Diamond's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356521934 to Jerett Lewis Diamond?
The Centers for Medicare & Medicaid Services assigned the 1356521934 to Jerett Lewis Diamond on 2007-11-12.
As of what date was the information pertaining to Jerett Lewis Diamond, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerett Lewis Diamond, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-12.
NPI Number: 1902809924
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