Bethany Lynn Genenbacher in Yorkville - Addiction (substance Use Disorder)
Bethany Lynn Genenbacher - NPI 1679776165
Bethany Lynn Genenbacher is a Addiction (substance Use Disorder) in Yorkville, Illinois. Bethany Lynn Genenbacher practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bethany Lynn Genenbacher is 1679776165. The last update date is 2007-07-08.
Bethany Lynn Genenbacher's current location address is 811 W John St, Yorkville, Illinois. You can contact this provider via phone number 6305539100 and fax number 6305530167. The mailing address for Bethany Lynn Genenbacher is 811 W John St, Yorkville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Lynn Genenbacher |
|---|---|
| Address | 811 W John St, Yorkville, Illinois |
| Phone Number | 6305539100 |
| Fax Number | 6305530167 |
| Sole Proprietor | Y |
| Credentials | LCSW, CADC |
NPI Number Detail
| NPI Number | 1679776165 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 811 W John St |
|---|---|
| City | Yorkville |
| State | Illinois (IL) |
| Post Code | 605609249 |
| Phone Number | 6305539100 |
| Fax Number | 6305530167 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 20901 |
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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 10-digit identifier code assigned to Bethany Lynn Genenbacher by the Centers for Medicare & Medicaid Services?
The Bethany Lynn Genenbacher has been issued the NPI (National Provider Identifier) 1679776165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bethany Lynn Genenbacher?
The Bethany Lynn Genenbacher is situated at 811 W John St, in the city of Yorkville, state of IL, with the zip code 605609249.
What is the Bethany Lynn Genenbacher's specialty and taxonomy code?
The Bethany Lynn Genenbacher'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 1679776165 to Bethany Lynn Genenbacher?
The Centers for Medicare & Medicaid Services assigned the 1679776165 to Bethany Lynn Genenbacher on 2007-06-11.
As of what date were the details related to Bethany Lynn Genenbacher most recently updated or revised?
The information pertaining to Bethany Lynn Genenbacher, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.