Jennifer L. Desjardins in Fort Kent - Addiction (substance Use Disorder)
Jennifer L. Desjardins - NPI 1215123682
Jennifer L. Desjardins is a Addiction (substance Use Disorder) in Fort Kent, Maine. Jennifer L. Desjardins practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer L. Desjardins is 1215123682. The last update date is 2012-11-13.
Jennifer L. Desjardins's current location address is 175 Strip Rd, Fort Kent, Maine. You can contact this provider via phone number 2074367027. The mailing address for Jennifer L. Desjardins is 175 Strip Rd, Fort Kent, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L. Desjardins |
|---|---|
| Address | 175 Strip Rd, Fort Kent, Maine |
| Phone Number | 2074367027 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MHRT-C |
NPI Number Detail
| NPI Number | 1215123682 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2012-11-13 |
Provider Mailing Address Detail
| Address | 175 Strip Rd |
|---|---|
| City | Fort Kent |
| State | Maine (ME) |
| Post Code | 47431552 |
| Phone Number | 2074367027 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LC5168 |
|
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 |
|---|---|---|---|
| 103850000 | ME | MAINECARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer L. Desjardins by the Centers for Medicare & Medicaid Services?
The Jennifer L. Desjardins has been issued the NPI (National Provider Identifier) 1215123682 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jennifer L. Desjardins's physical address?
The Jennifer L. Desjardins is physically located at 175 Strip Rd, in the city of Fort Kent, ME, with the postal code 47431552.
What is Jennifer L. Desjardins's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer L. Desjardins is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did Jennifer L. Desjardins receive its 1215123682 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer L. Desjardins was assigned its 1215123682 on 2007-09-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jennifer L. Desjardins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer L. Desjardins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC