Stephen Jarrell in Fort Wayne - Addiction (substance Use Disorder)
Stephen Jarrell - NPI 1528105202
Stephen Jarrell is a Addiction (substance Use Disorder) in Fort Wayne, Indiana. Stephen Jarrell practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Stephen Jarrell is 1528105202. The last update date is 2016-09-14.
Stephen Jarrell's current location address is 2712 S Calhoun St, Fort Wayne, Indiana. You can contact this provider via phone number 2607444326 and fax number 2607440188. The mailing address for Stephen Jarrell is 2712 S Calhoun St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Jarrell |
|---|---|
| Address | 2712 S Calhoun St, Fort Wayne, Indiana |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
| Sole Proprietor | N |
| Credentials | LCSW, LCAC |
NPI Number Detail
| NPI Number | 1528105202 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2016-09-14 |
Provider Mailing Address Detail
| Address | 2712 S Calhoun St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468071402 |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 87000362A |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200090360A | IN | -- |
Post Comment/ Review Below
What is the Stephen Jarrell's unique identification number?
The Stephen Jarrell has been assigned the NPI (National Provider Identifier) Number 1528105202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Stephen Jarrell?
The Stephen Jarrell is situated at 2712 S Calhoun St, in the city of Fort Wayne, state of IN, with the zip code 468071402.
What is the Stephen Jarrell's specialty and taxonomy code?
The Stephen Jarrell's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did Stephen Jarrell receive its 1528105202 assignment?
The Stephen Jarrell was assigned its 1528105202 on 2007-01-31, which is the date when this unique identifier was issued to the organization.
As of what date were the Stephen Jarrell's details last updated?
The information pertaining to the Stephen Jarrell, including its address, specialty, and other details, was most recently updated on 2016-09-14.
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