Keith D Jodway in Goshen - Addiction (substance Use Disorder)

Keith D Jodway - NPI 1912949413

Keith D Jodway is a Addiction (substance Use Disorder) in Goshen, Indiana. Keith D Jodway practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Keith D Jodway is 1912949413. The last update date is 2019-05-14.

Keith D Jodway's current location address is 211 E Washington St, Goshen, Indiana. You can contact this provider via phone number 5742200220 and fax number 5745345778. The mailing address for Keith D Jodway is 211 E Washington St, Goshen, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith D Jodway
Address 211 E Washington St, Goshen, Indiana
Phone Number 5742200220
Fax Number 5745345778
Sole Proprietor Y
Credentials LMHC, LCAC

NPI Number Detail

NPI Number 1912949413
Provider Enumeration Date 2006-06-11
Last Updated Date 2019-05-14

Provider Mailing Address Detail

Address 211 E Washington St
City Goshen
State Indiana (IN)
Post Code 465283322
Phone Number 5742200220
Fax Number 5745345778

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 228
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Keith D Jodway

What is the unique identifier code issued to Keith D Jodway by the Centers for Medicare & Medicaid Services (CMS)?

The Keith D Jodway has been assigned the NPI (National Provider Identifier) 1912949413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Keith D Jodway's facilities are situated?

The facilities of Keith D Jodway are physically located at the following address: 211 E Washington St, Goshen, IN, 465283322.

What is Keith D Jodway's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Keith D Jodway is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

When did Keith D Jodway receive its 1912949413 assignment?

The Keith D Jodway was assigned its 1912949413 on 2006-06-11, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Keith D Jodway last refreshed?

The information related to the Keith D Jodway, including its address, specialty, and other relevant details, was last updated on 2019-05-14.

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