Anna Blasetti Dejong in Baltimore - Addiction (substance Use Disorder)

Anna Blasetti Dejong - NPI 1063434041

Anna Blasetti Dejong is a Addiction (substance Use Disorder) in Baltimore, Maryland. Anna Blasetti Dejong practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Anna Blasetti Dejong is 1063434041. The last update date is 2008-05-21.

Anna Blasetti Dejong's current location address is 1001 Cathedral St, Baltimore, Maryland. You can contact this provider via phone number 4108372050 and fax number 4108377793. The mailing address for Anna Blasetti Dejong is 1001 Cathedral St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Anna Blasetti Dejong
Address 1001 Cathedral St, Baltimore, Maryland
Phone Number 4108372050
Fax Number 4108377793
Sole Proprietor N
Credentials LCADC

NPI Number Detail

NPI Number 1063434041
Provider Enumeration Date 2006-07-25
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 1001 Cathedral St
City Baltimore
State Maryland (MD)
Post Code 212015403
Phone Number 4108372050
Fax Number 4108377793

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCA289
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
132190100 MD --

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FAQs about Anna Blasetti Dejong

What is the unique 10-digit identifier code issued to Anna Blasetti Dejong by the Centers for Medicare & Medicaid Services?

The Anna Blasetti Dejong has been assigned the NPI (National Provider Identifier) 1063434041 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Anna Blasetti Dejong is located?

The Anna Blasetti Dejong is situated at the following address: 1001 Cathedral St, Baltimore, MD, 212015403.

What is Anna Blasetti Dejong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Anna Blasetti Dejong's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

When did Anna Blasetti Dejong receive its 1063434041 assignment?

The Anna Blasetti Dejong was assigned its 1063434041 on 2006-07-25, which is the date when this unique identifier was issued to the organization.

As of what date were the Anna Blasetti Dejong's details last updated?

The information pertaining to the Anna Blasetti Dejong, including its address, specialty, and other details, was most recently updated on 2008-05-21.

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