Phyllis Louise Green in Stockton - Addiction (substance Use Disorder)

Phyllis Louise Green - NPI 1790909695

Phyllis Louise Green is a Addiction (substance Use Disorder) in Stockton, California. Phyllis Louise Green practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Phyllis Louise Green is 1790909695. The last update date is 2007-07-08.

Phyllis Louise Green's current location address is 8026 Lorraine Ave, Stockton, California. You can contact this provider via phone number 2096446328 and fax number 2096446308. The mailing address for Phyllis Louise Green is 8026 Lorraine Ave, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis Louise Green
Address 8026 Lorraine Ave, Stockton, California
Phone Number 2096446328
Fax Number 2096446308
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1790909695
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8026 Lorraine Ave
City Stockton
State California (CA)
Post Code 952104224
Phone Number 2096446328
Fax Number 2096446308

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 Phyllis Louise Green

What is the unique 10-digit identifier code assigned to Phyllis Louise Green by the Centers for Medicare & Medicaid Services?

The Phyllis Louise Green has been issued the NPI (National Provider Identifier) 1790909695 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Phyllis Louise Green is geographically located?

The Phyllis Louise Green is physically situated at the following location: 8026 Lorraine Ave, Stockton, CA, 952104224.

What is Phyllis Louise Green's area of expertise and its corresponding taxonomy classification?

The Phyllis Louise Green's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Phyllis Louise Green receive its 1790909695 assignment from the Centers for Medicare & Medicaid Services?

The Phyllis Louise Green was assigned its 1790909695 by the Centers for Medicare & Medicaid Services on 2007-04-12.

As of what date were the details pertaining to Phyllis Louise Green last refreshed?

The information related to the Phyllis Louise Green, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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