is a Addiction (substance Use Disorder) in Ft Campbell, Kentucky. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1083764914. The last update date is .
's current location address is 650 Joel Drive, Ft Campbell, Kentucky. You can contact this provider via phone number 2707988727 and fax number 2707988224. The mailing address for is 650 Joel Drive, Ft Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
---|---|
Address | 650 Joel Drive, Ft Campbell, Kentucky |
Phone Number | 2707988727 |
Fax Number | 2707988224 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1083764914 |
---|---|
Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 650 Joel Drive |
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City | Ft Campbell |
State | Kentucky (KY) |
Post Code | 42223 |
Phone Number | 2707988727 |
Fax Number | 2707988224 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 1112 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7100364240 | KY | -- |
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